01941nas a2200409 4500000000100000008004100001260001300042653001500055653001000070653001100080653001000091653002100101653001100122653002100133653003800154653001100192653001100203653002000214653001200234653000900246653001200255653001600267653001400283653001400297653001500311653001700326100001600343700001400359700001400373700001700387700001200404245006700416300001200483490000700495520101500502022001401517 1995 d c1995 May10aAdolescent10aAdult10aBrazil10aChild10aChild, Preschool10aFemale10aGenes, Recessive10aGenetic Predisposition to Disease10aHumans10aInfant10aInfant, Newborn10aleprosy10aMale10aMeiosis10aMiddle Aged10aMorbidity10aPhenotype10aPrevalence10aRisk Factors1 aFeitosa M F1 aBorecki I1 aKrieger H1 aBeiguelman B1 aRao D C00aThe genetic epidemiology of leprosy in a Brazilian population. a1179-850 v563 a

Data on leprosy patients have been obtained from the Dispensary of Leprosy of Campinas, São Paulo, where records on practically all cases of leprosy in the Campinas area during the period 1960-70 are filed. The whole sample comprises 10,886 individuals, distributed among 1,568 families. Complex segregation analysis was utilized to determine the nature of the genetic factors that may operate on leprosy and its subtypes. The results suggest the presence of a recessive major gene controlling susceptibility to leprosy per se, with frequency of approximately .05, although there are deviations from the expected Mendelian segregation proportions. Possible etiologic heterogeneity was examined by considering two subtypes separately: for lepromatous leprosy and tuberculoid leprosy there are suggestions for a segregating major effect; however, Mendelian transmission could not be demonstrated in either case. Therefore, there is no evidence to suggest unique genetic determinants for leprosy subtypes.

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