Relatamos um caso de apresentação incomum de leishmaniose tegumentar americana com lesão solitária no lóbulo da orelha de um paciente do sexo masculino com mínimo aumento em, pelo menos, seis meses, sem ulceração ou sintomas relacionados. Os cortes histológicos mostraram atrofia epitelial e um grande número de estruturas compatíveis com amastigotas de Leishmania sp. no interior de macrófagos. O tratamento foi iniciado com antimoniato de meglumina, com regressão do quadro. A importância desse relato de caso é devido à apresentação clínica e histopatológica atípica e sua baixa correlação com a duração prolongada da doença.

We report a case of an unusual presentation of American Tegumentary Leishmaniasis involving a male patient with a solitary lesion on the ear lobe, persisting with minimal increase for at least six months without ulceration or related symptoms. The histological sections showed epithelial atrophy and a large number of structures consistent with Leishmania sp. amastigotes within macrophages. Treatment commenced with meglumine antimoniate resulting in regression of the condition. This report is of importance given the unusual clinical manifestation and histopathological findings in this case and the fact that there was low correlation with the extended duration of the disease.

Esta investigación tiene como objetivo mapear estrategias de soporte social y de organización político-social involucrando a usuarios, familiares y profesionales de servicios de salud mental en la región nordeste del Brasil. Realizamos una búsqueda activa de líderes y profesionales, además de una investigación bibliográfica y consulta de documentos. Identificamos 8 asociaciones, las cuales fueron caracterizadas en cuanto a su composición, tiempo de fundación, fuentes de financiación, actividades desarrolladas, nivel de formalización y relación con las propuestas de la reforma. El estudio deja en evidencia que estas iniciativas son una estrategia importante de participación política, que han contribuido para ampliar el debate sobre la reforma psiquiátrica y que enfrentan dificultades financieras y de organización, como también de la adhesión de nuevos participantes.

This research aimed to map out strategies to support social and political-social organization involving users, families and professionals of mental health services in the region northeast Brazil. We conducted an active search for leaders and professionals as well as bibliographic research, consultation documents and publicity material. We identified 08 associations located in cities large and medium-sized, which were characterized as to its composition, time of foundation, sources of financial support, activities, level of formalization and relationship with the proposals for reform. The study shows that these initiatives are an important strategy of political participation and have contributed to widening the debate on the reform of psychiatry, but face financial, organizational and accession of new participants.