Gomes MIG, Souza VFF, da Silva SAR, Gomes ON, de Vasconcelos CM, Duarte FESD, Jeronimo FS

Language: Portugués
References: 23
Page:
PDF size: 285.86 Kb.

ABSTRACT

Introduction: Actinic cheilitis is an inflammatory, potentially malignant lesion associated with excessive sun exposure.
Objective: To evaluate the prevalence of actinic cheilitis in a group of farmers, as well as the perception and knowledge of that group about this lesion.
Methods: The observational epidemiological study included Brazilian semi-arid region farmers. The sample was obtained for accessibility to this population and a total of 219 farmers was reached. A structured questionnaire was used to collect the data in addition to the intraoral physical examination.
Results: Actinic cheilitis was diagnosed in 30.6% of the examined farmers. The lesion was found more frequently in males (86.6%), older than 60 years (64.2%), and leukoderma (58.2%). Most individuals with actinic cheilitis were exposed to solar radiation for more than 30 years (65.7%), for more than 6 hours a day (73.1%), and did not adequately protect themselves (94%). Sex, age, education level, drinking habits, and time of sun exposure had a statistically significant correlation with the presence of actinic cheilitis (p <0.05). It was found that 76.1% of the participants did not notice signs and 61.2% did not perceive symptoms of this injury. Knowledge about actinic cheilitis was low for 97% of individuals with the lesion.
Conclusions: The results showed a high prevalence of actinic cheilitis, in addition to low perception and knowledge about it, which indicates the need for health education actions.

REFERENCES

1. Cremonesl AL, Quispe RA, Garcia AS, Santos PGS. Queilite actínica: um estudo retrospectivo das características clinicas e histopatológicas. Arq Med Hosp Fac Cienc Med Santa Casa São Paulo. 2017; 62(1):7-11.

2. Osorio CH, Palmas BF, Cartes-Velásquez R. Queilitis actínica: aspectos histológicos, clínicos y epidemiológicos. Rev Cubana Estomatol. 2016; 53(2): 45-55.

3. Mello FW, Melo G, Modolo f, Rivero ERC. Actinic cheilits and lip squamous cell carcinoma: Literature review and new data from Brazil. J Clin Exp Dent. 2019;11(1):62-9.

4. Lucena EES, Costa DCB, da Silveira EJD, Lima KC. Prevalence and factors associated to actinic cheilitis in beach workers. Oral Diseases. 2012; 18(1): 575-579.

5. Sarmento DJS, Miguel MCC, Queiroz LMG,Godoy GP,da Silveira EJD. Actinic cheilitis: clinicopathologic profile and association with degree of dysplasia. Int j dermatol. 2014;53(1): 466-72.

6. Arnaud RR, Soares MSM, de Paiva MAF, de Figueiredo CRLV, Santos MGC, Lira CC. Queilite actínica: avaliação histopatológica de 44 casos. Rev Odontol UNESP. 2014;43(6):384-9.

7. Barreto ACR. The clinical prevalence of actinic cheilitis among community health agents from the regional V subprefecture of Fortaleza. Rev Gaúch Odontol. 2017;65(2):128-33.

8. Rodríguez-Blanco I, Flórez A, Paredes-Suárez C, Rodríguez-Lojo R, Gonzáles-Vilas D, Ramírez-Santos A et al. Actinic Cheilits prevalence and risk factors: A cross-sectional, multicentre study in a population aged 45 years and over in North-west Spain. Acta Derm Venereol. 2018;98:970-4.

9. Santos RF, Oliveira RL, Gallottini M, Caliento R, Sarmento DJS. Prevalence of factors associated with actinic cheilits in extractive mining workers. Brazilian Dental Journal. 2018;29(2):214-21.

10. Instituto Nacional de Câncer. Estatísticas do câncer de boca [Acesso: 22/06/2018]. Disponível em: Disponível em: http://www.inca.gov.br

11. Maia HCM, Pinto NAS, Pereira JS, Medeiros AMC, da Silveira EJD, Miguel MCC. Potentially malignant oral lesions: clinicopathological correlations. Rev Einstein. 2016;14(1):35-40.

12. Cartaxo AC, Silva DNA, Costa KCAD, Souza GCA, Martins ARLA. Conhecimento de trabalhadores rurais de um município do nordeste brasileiro acerca da prevenção e diagnóstico precoce do câncer de boca. Rev Ciênc Plur. 2017;3(1):51-62.

13. Mello FW, Miguel AFP, Dutra KL, Porporatti AL, Warnakulasuriya S, Guerra ENS et al. Prevalence of oral potentially malignant disorders: A systematic review and meta-analysis. J Oral Pathol Med. 2018;47:633-640.

14. Da Silva FD, Daniel FI, Grando LJ, Calvo MC, Rath IBS, Fabro SML. Estudo da prevalência de alterações lábias em pescadores da ilha de Santa Catarina. Rev odonto ciênc - fac. odonto/pucrs. 2006;21(51):37-42.

15. Neville BW, Damm DD, Allen CM, Chi A. Oral and Maxillofacial Pathology 4th ed. St. Louis, Missouri: Elsevier; 2016.

16. Dantas LRO, de Oliveira BRS, Nascimento GJF, de Carvalho CHP. Prevalência e fatores associados da queilite actínica em trabalhadores expostos a radiação solar. Temas em Saúde. 2017; 17(1): 231-44.

17. Miranda AM, Ferrari TM, Calandro TLL. Queilite actínica: Prevalência e aspectos clínicos encontrados em uma população rural do interior do brasil. Rev. Saúde pesquisa. 2011;4(1):67-72.

18. Dancyger A, Heard V, Huang B, Suley C, Tang D, Ariyawardana A. Malignant transformation of actinic cheilits: A systematic review of observational studies. J Invest Clin Dent. 2018;9:12343.

19. Cintra JS, Torres SCM, Silva MBF, Manhães Júnior LRC, da Silva Filho JP, Junqueira JLC. Queilite actínica: estudo epidemiológico entre trabalhadores rurais do município de piracaia - SP. Rev Assoc Paul Cir Dent. 2013; 67(2):118-21.

20. Freddo AL, Vogt BF, Torriani MA, Hosni ES. Vermilionectomy: a treatment alternative for actinic cheilitis. Rev Odonto Ciênc. 2009;24(3):319-22.

21. Martins-Filho PRS, Silva, LCF, Piva MR. The prevalence of actinic cheilitis in farmers in a semi-arid northeastern region of brazil. Int J Dermatol. 2011;50(9):1109-14.

22. Gheno JN, Martins MAT, Munerato MC, Hugo FN, Sant’ana Filho M, Weissheimer C, Carrard VC, Martins MD. Oral Mucosal lesions and their association whith sociodemographic, behavioral, and health status factors. Braz Oral Res. 2015;29(1):1-6.

23. Miranda SVC, Duraes OS, Vasconcelos LCF. A visão do homem trabalhador rual norte-mineiro sobre o cuidado em saúde no contexto da atenção primária à saúde. Ciência & Saúde Coletiva. 2020;25(4):1519-27. DOI: 10.1590/1413-81232020254.21602018