{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,10]],"date-time":"2026-11-10T00:44:08Z","timestamp":1794271448982,"version":"4.9.0"},"reference-count":34,"publisher":"FapUNIFESP (SciELO)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Soc. Bras. Med. Trop."],"published-print":{"date-parts":[[2010,4]]},"abstract":"<jats:p>INTRODUCTION: Abdominal palpation and ultrasound findings among patients from an endemic area for schistosomiasis in Brazil who had been followed up for 27 years were compared. METHODS: In 2004, 411 patients from Brejo do Esp\u00edrito Santo, in the State of Bahia, were selected for the present investigation after giving their written informed consent. Based on clinical data, they were divided into three groups: 41 patients with evidence of liver fibrosis in 2004 (Group 1); 102 patients with evidence of liver fibrosis in the past (1976-1989) but not in 2004 (Group 2); and 268 patients without evidence of liver fibrosis at any time during the 27-year follow-up (Group 3). All of the patients underwent abdominal ultrasound in which the examiner did not know the result from the clinical examination. The data were stored in a database. RESULTS: The prevalence of periportal fibrosis on ultrasound was 82.9%, 56.9% and 13.4% in Groups 1, 2 and 3, respectively. In the presence of hard, nodular liver or prominent left lobe and a hard palpable spleen, ultrasound revealed periportal fibrosis in 70.9%. However, periportal fibrosis was diagnosed using ultrasound in 25.4% of the patients in the absence of clinical evidence of liver involvement. Thus, ultrasound diagnosed periportal fibrosis 3.1 times more frequently than clinical examination did. CONCLUSIONS: Although clinical examination is important in evaluating morbidity due to Manson's schistosomiasis in endemic areas, ultrasound is more accurate in diagnosing liver involvement and periportal fibrosis.<\/jats:p>","DOI":"10.1590\/s0037-86822010000200005","type":"journal-article","created":{"date-parts":[[2010,4,29]],"date-time":"2010-04-29T05:39:47Z","timestamp":1272519587000},"page":"129-134","source":"Crossref","is-referenced-by-count":16,"title":["Comparison between clinical and ultrasonographic findings in cases of periportal fibrosis in an endemic area for schistosomiasis mansoni in Brazil"],"prefix":"10.1590","volume":"43","author":[{"given":"Alu\u00edzio","family":"Prata","sequence":"first","affiliation":[{"name":"University of Tri\u00e2ngulo Mineiro, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raiza","family":"Ruiz-Guevara","sequence":"additional","affiliation":[{"name":"University of Tri\u00e2ngulo Mineiro, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos Mauricio de Figueiredo","family":"Antunes","sequence":"additional","affiliation":[{"name":"Federal University of Minas Gerais, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolina Coimbra","family":"Marinho","sequence":"additional","affiliation":[{"name":"Federal University of Minas Gerais, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonardo Campos","family":"Queiroz","sequence":"additional","affiliation":[{"name":"Federal University of Minas Gerais, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Izabela","family":"Voieta","sequence":"additional","affiliation":[{"name":"Federal University of Minas Gerais, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Roberto","family":"Lambertucci","sequence":"additional","affiliation":[{"name":"Federal University of Minas Gerais, 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Hyg","ISSN":"https:\/\/id.crossref.org\/issn\/0035-9203","issn-type":"print"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1111\/j.1365-3156.1996.tb00025.x","article-title":"Clinical investigations of a population recently infected with Schistosoma mansoni (Richard-Toll, Senegal)","volume":"1","author":"Kong A","year":"1996","journal-title":"Trop Med Intern Hlth"},{"key":"ref5","first-page":"49","article-title":"Development of the hepatosplenic form of schistosomiasis","volume":"68","author":"Prata A","year":"1968","journal-title":"Gaz M\u00e9d Bahia"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1590\/S0074-02761998000700045","article-title":"Splenic palpation for the evaluation of morbidity due to Schistosoma mansoni","volume":"93","author":"Gersparcher-Lara R","year":"1998","journal-title":"Mem Inst Oswaldo Cruz","ISSN":"https:\/\/id.crossref.org\/issn\/0074-0276","issn-type":"print"},{"key":"ref7","first-page":"179","author":"Kloetzel K","year":"1970"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1016\/S0001-706X(00)00124-8","article-title":"Schistosoma mansoni: assessment of morbidity before and after control","volume":"77","author":"Lambertucci JR","year":"2000","journal-title":"Acta Tropica","ISSN":"https:\/\/id.crossref.org\/issn\/0001-706X","issn-type":"print"},{"key":"ref9","first-page":"179","author":"Prata A","year":"1970"},{"key":"ref10","first-page":"560","article-title":"Ultrasonographic prediction of esophageal varices in schistosomiasis mansoni","volume":"88","author":"Abdel-Wahab MF","year":"1993","journal-title":"Am J Gastroenterol","ISSN":"https:\/\/id.crossref.org\/issn\/0002-9270","issn-type":"print"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"777","DOI":"10.1148\/radiology.153.3.6387793","article-title":"Hepatosplenic schistosomiasis mansoni: ultrasound manifestations","volume":"153","author":"Cerri GG","year":"1984","journal-title":"Radiology","ISSN":"https:\/\/id.crossref.org\/issn\/0033-8419","issn-type":"print"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1016\/S0035-9203(97)90087-0","article-title":"Ultrasonography of periportal fibrosis in schistosomiasis mansoni in Brazil","volume":"91","author":"Gersparcher-Lara R","year":"1997","journal-title":"Trans R Soc Trop Med Hyg","ISSN":"https:\/\/id.crossref.org\/issn\/0035-9203","issn-type":"print"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"86","DOI":"10.4269\/ajtmh.1988.38.86","article-title":"Diagnosis of pathologically confirmed Symmers\u00b4 periportal fibrosis by ultrasonography: a prospective blinded study","volume":"38","author":"Homeida MA","year":"1988","journal-title":"Am J Trop Med Hyg","ISSN":"https:\/\/id.crossref.org\/issn\/0002-9637","issn-type":"print"},{"key":"ref14","first-page":"353","article-title":"Sonographic features of portal hypertension in schistosomiasis mansoni","volume":"36","author":"Pinto-Silva RA","year":"1994","journal-title":"Rev Inst Med Trop S Paulo","ISSN":"https:\/\/id.crossref.org\/issn\/0036-4665","issn-type":"print"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"403","DOI":"10.4269\/ajtmh.1992.46.403","article-title":"Grading of hepatic schistosomiasis by the use of ultrasonography","volume":"46","author":"Abdel-Wahab MF","year":"1992","journal-title":"Am J Trop Med Hyg","ISSN":"https:\/\/id.crossref.org\/issn\/0002-9637","issn-type":"print"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"245","DOI":"10.4269\/ajtmh.1997.57.245","article-title":"Organometric investigation of the spleen and liver by ultrasound in Schistosoma mansoni endemic and non endemic villages in Senegal","volume":"57","author":"Yazdanpanah 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N","year":"1972","journal-title":"Rev Inst Med Trop S Paulo","ISSN":"https:\/\/id.crossref.org\/issn\/0036-4665","issn-type":"print"},{"key":"ref20","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1590\/S0074-02762001000900023","article-title":"Report of the Second Satellite Symposium on ultrasound in schistosomiasis","volume":"96","author":"Richter J","year":"2001","journal-title":"Mem Inst Oswaldo Cruz","ISSN":"https:\/\/id.crossref.org\/issn\/0074-0276","issn-type":"print"},{"key":"ref21","series-title":"Ultrasound in schistosomiasis: A practical guide to standardized use of ultrasonography for the assessment of schistosomiasis-related morbidity","author":"Richter J","year":"2000"},{"key":"ref22","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1016\/0001-706X(93)90005-V","article-title":"Use of ultrasound in a study of schistosomal periportal fibrosis in rural Zimbabwe","volume":"53","author":"Houston S","year":"1993","journal-title":"Acta Trop","ISSN":"https:\/\/id.crossref.org\/issn\/0001-706X","issn-type":"print"},{"key":"ref23","doi-asserted-by":"crossref","first-page":"72","DOI":"10.4269\/ajtmh.1989.40.72","article-title":"Characteristic sonographic pattern of schistosomal hepatic fibrosis","volume":"40","author":"Abdel-Wahab MF","year":"1989","journal-title":"Am J Trop Med Hyg","ISSN":"https:\/\/id.crossref.org\/issn\/0002-9637","issn-type":"print"},{"key":"ref24","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1016\/0001-706X(92)90046-Z","article-title":"Sonographic organometry in Brazilian and Sudanese patients with hepatosplenic schistosomiasis mansoni and its relation to the risk of bleeding from esophageal varices","volume":"51","author":"Richter J","year":"1992","journal-title":"Acta Trop","ISSN":"https:\/\/id.crossref.org\/issn\/0001-706X","issn-type":"print"},{"key":"ref25","doi-asserted-by":"crossref","first-page":"581","DOI":"10.4269\/ajtmh.1990.42.581","article-title":"Ultrasonographical investigation of periportal fibrosis in children with Schistosoma mansoni infection: evaluation of morbidity","volume":"42","author":"Doehring-Schwedtfeger E","year":"1990","journal-title":"Am J Trop Med Hyg","ISSN":"https:\/\/id.crossref.org\/issn\/0002-9637","issn-type":"print"},{"key":"ref26","series-title":"Human Schistosomiasis","first-page":"195","volume-title":"Schistosoma mansoni: pathological and clinical aspects","author":"Lambertucci JR","year":"1993"},{"key":"ref27","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1016\/S0035-9203(97)90087-0","article-title":"Ultrasonography of periportal fibrosis in schistosomiasis mansoni in Brazil","volume":"91","author":"Gersparcher-Lara R","year":"1997","journal-title":"Trans R Soc Trop Med Hyg","ISSN":"https:\/\/id.crossref.org\/issn\/0035-9203","issn-type":"print"},{"key":"ref28","doi-asserted-by":"crossref","first-page":"623","DOI":"10.1016\/S0035-9203(01)90099-9","article-title":"Morbidity of schistosomiasis mansoni in the highlands of Madagascar and comparison of current sonographical classification systems","volume":"95","author":"Hoffmann N","year":"2001","journal-title":"Trans R Soc Trop Med Hyg","ISSN":"https:\/\/id.crossref.org\/issn\/0035-9203","issn-type":"print"},{"key":"ref29","doi-asserted-by":"crossref","first-page":"196","DOI":"10.4269\/ajtmh.1988.39.196","article-title":"Morbidity associated with Schistosoma mansoni infections as determined by ultrasound: a study in Gezira, Sudan","volume":"39","author":"Homeida MA","year":"1988","journal-title":"Am J Trop Med Hyg","ISSN":"https:\/\/id.crossref.org\/issn\/0002-9637","issn-type":"print"},{"key":"ref30","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1590\/S0074-02762001000900022","article-title":"Hepatosplenic schistosomiasis: a combined clinical and sonographic definition","volume":"96","author":"Lambertucci JR","year":"2001","journal-title":"Mem Inst Oswaldo 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