{"entities":{"Q38036":{"pageid":28402,"ns":120,"title":"Item:Q38036","lastrevid":108956,"modified":"2026-08-13T02:21:37Z","type":"item","id":"Q38036","labels":{"mul":{"language":"mul","value":"1B20.20"},"pt-br":{"language":"pt-br","value":"Rea\u00e7\u00e3o hans\u00eanica do tipo I"},"en":{"language":"en","value":"Type I leprosy reaction"}},"descriptions":{"pt-br":{"language":"pt-br","value":"Esse fen\u00f4meno, tamb\u00e9m denominado \u201crea\u00e7\u00e3o reversa\u201d, ocorre na forma borderline (dimorfa) da hansen\u00edase e est\u00e1 associado a um aumento da imunidade mediada por c\u00e9lulas. Ela ocorre normalmente nos primeiros 6 meses de tratamento em pacientes n\u00e3o tratadas anteriormente, mas pode estar relacionada a estresse, infec\u00e7\u00f5es intercorrentes ou gravidez. As caracter\u00edsticas cl\u00ednicas incluem edema inflamat\u00f3rio, eritema e, ocasionalmente, ulcera\u00e7\u00e3o de les\u00f5es existentes, sintomas constitucionais e neurite. Se a neurite n\u00e3o for tratada imediatamente, pode ocorrer dano permanente ao nervo motor."},"en":{"language":"en","value":"This phenomenon, also named \u201cupgrading reaction,\u201d occurs in borderline leprosy states and is associated with an increase in cell-mediated immunity. It occurs typically within the first 6 months of treatment in previously untreated patients but may be related to stress, intercurrent infections, or pregnancy. Clinical features include inflammatory swelling, erythema and occasionally ulceration of existing lesions, constitutional symptoms and neuritis. If the neuritis is not treated promptly permanent motor nerve damage may ensue."}},"aliases":{},"claims":{"P68":[{"mainsnak":{"snaktype":"value","property":"P68","hash":"f6d3a21d10799df18e43235cae68d8660475ce56","datavalue":{"value":"https://id.who.int/icd/entity/1185467033","type":"string"},"datatype":"url"},"type":"statement","id":"Q38036$9AD4D981-F7F8-4183-9E50-F0EF8D0D76B6","rank":"normal"}],"P67":[{"mainsnak":{"snaktype":"value","property":"P67","hash":"b974e3745076ba89cd761b1e20b205203a4d2483","datavalue":{"value":"CID11:1B20.20","type":"string"},"datatype":"string"},"type":"statement","id":"Q38036$9299B1C3-DD87-45C9-9C06-801E8145231C","rank":"normal"}],"P70":[{"mainsnak":{"snaktype":"value","property":"P70","hash":"1cc21b6159455e2624dce911315949edb7ae68ce","datavalue":{"value":"dki-india-1B20.20","type":"string"},"datatype":"string"},"type":"statement","id":"Q38036$8E6ABE26-5AB2-4A70-8BEA-1F09BA300117","rank":"normal"}],"P86":[{"mainsnak":{"snaktype":"value","property":"P86","hash":"a96031634b9f5dafddaf781bbba3adea6bb64ef4","datavalue":{"value":"Conclu\u00eddo","type":"string"},"datatype":"string"},"type":"statement","id":"Q38036$0A96FF4C-F001-4356-BEB1-E727F4C5A4A4","rank":"normal"}],"P78":[{"mainsnak":{"snaktype":"value","property":"P78","hash":"5f9b5be68b7400da549761cf15abfdbc4d1e075b","datavalue":{"value":"https://pauloleads.com.br/cases-publicos/","type":"string"},"datatype":"url"},"type":"statement","id":"Q38036$20348CAA-8040-4FC7-86AD-7CD069B8F009","rank":"normal"}],"P80":[{"mainsnak":{"snaktype":"value","property":"P80","hash":"92b8222fcbb75718504f915073a3f43bd4003d18","datavalue":{"value":{"time":"+2026-08-13T00:00:00Z","timezone":0,"before":0,"after":0,"precision":11,"calendarmodel":"http://www.wikidata.org/entity/Q1985727"},"type":"time"},"datatype":"time"},"type":"statement","id":"Q38036$76D08AE3-DC64-4A1B-A2F9-63AD2F36504A","rank":"normal"}],"P89":[{"mainsnak":{"snaktype":"value","property":"P89","hash":"9430b51d5e3e4dcb86808e8d07ce7930c55ffa4e","datavalue":{"value":{"entity-type":"item","numeric-id":11397,"id":"Q11397"},"type":"wikibase-entityid"},"datatype":"wikibase-item"},"type":"statement","id":"Q38036$8129A71D-6FF5-4C72-923D-F31D12CF352C","rank":"normal"}]},"sitelinks":{}}}}