Lepra tuberculoide. Rios González, Carlos Miguel Cátedra de Dermatología. Facultad de Ciencias Médicas. Universidad Nacional de Caaguazú. Paraguay. El 65,4 % de los casos índices fueron hombres y 22 (84,6 %) lepromatosos; dos tenían lepra indeterminada y dos tuberculoide. Los casos secundarios fueron. La lepra o malaltia de Hansen és una malaltia infectocontagiosa però difícilment . que estaran engruixits i es podran palpar, sobretot a la lepra tuberculoide.

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The differential diagnosis includes systemic lupus erythematosus, sarcoidosis, cutaneous leishmaniasis and other skin diseases, tertiary syphilis, cicatricial pemphigoid, lethal midline granuloma, lymphomas, systemic mycosis, traumatic lesions and malignant neoplasias, as well as peripheral nerve pathology such as syringomyelia, among other disorders 2,6.

Dermatol Rev Mex ; Local pyogenic infections, secondary to skin ulcers, complicate and exaggerate these alterations. The antibodies produced by a utberculoide bacterial species may be capable of combining with membrane receptors of other species.

He lives with his wife, a daughter and five grandchildren. tubercuooide

Lepra lepromatosa: Revisión y caso clínico

Around one-third of people with leprosy present the first clinical manifestations during childhood. Tuberculoixe adenopathies were palpated.

Impact of MDT on incidence rates of leprosy among household contacts. The nasal mucosa become ulcerated and form scabs. This external soft tissue deformity constitutes one of the main facial alterations seen in patients with leprosy 1.

Dermatology Online Journal

The ruberculoide, based on clinical suspicion, is confirmed through bacteriological and histopathological analyses in which non-caseating granulomas are observedas well as by means of the lepromin test intradermal reaction that is usually negative in lepromatous leprosy form and positive in the tuberculoid form 6.

The skin areas anaesthetised by the nerve infection are susceptible to tissue infection. Diet to include carbohydrate monitoring and dietary supplements. Ortner D, Aufderheide AC, eds.

As these bacteria multiply more in cooler areas the pattern of infection is usually focussed on the skin, superficial cutaneous structures especially peripheral nervesthe eyes and the testicles. The most commonly used drugs are dapsone, rifampicin and clofazimine. However, those which settle in the internal organs are usually effectively eliminated by macrophages.


This presented an obstacle in terms of following an adequate dental treatment. High oral prevalence of Candida krusei in leprosy patients in Northern Thailand. This loss of maxillary bone structures and teeth constitutes another characteristic facial alteration in leprosy 4which in the case of our patient contributed to the leonine appearance of the lip Figure 2. Its preference for cooler anatomical regions means that vital organs are usually preserved, but also makes leprosy a disease that slowly destroys the distal areas of fingers and toes and causes nasal and facial deformities that lead to social marginalization.

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Therefore, it seemed of interest ruberculoide review the topic by means of a highly representative clinical case. Our patient showed generalized changes in pigmentation, as can be seen in the figures. Only two couples had consanguinity. The swollen upper eyelids create a sleepy appearance and the repercussions in the supraorbital tissues usually lead to the loss of eyebrow hair, particularly in lateral areas.

Treatment is difficult as it must be continued for long periods, requires several drugs with adverse effects and proves very expensive, particularly for less developed countries.

Correlation of oral surface temperatures and the lesions of leprosy. Facial and oral examination: The ulcers are slow to heal, and produce atrophic scarring or even tissue destruction. Nature Genet ; J Clin Microbiol ; De las Aguas, T.

Hence it affects the skin, peripheral nerves, the mucosa of the upper airways and other tissues such as bone and some viscera Secretion cultures from the ulcers on the lower extremities right trochanter and head of the left fibula were positive for Staphylococcus aureus. The persistence of the bacteria and the subsequent destruction of nerve fibres tubercukoide the cause of anaesthesia in hands and feet 1,9.


Lepra infantil: Presentación de un caso (Childhood leprosy: Report of a case)

No paucibacillary cases were associated with multibacillary leprosy in the couples. Population survey to determine risk factors for Mycobacterium lepra transmission and infection. Lfpra physical examination showed the patient to be conscious and oriented. The time between leprosy being detected in index cases and the disease being detected in secondary patients varied from 5 to 40 years. The disease presents polar clinical forms the “multibacillary” lepromatous leprosy and the “paucibacillary” tuberculoid leprosyas well as other intermediate forms with hybrid characteristics.

Review of the cases of Hansen disease neuropathy diagnosed in Neuropathology Unit of Centro Hospitalar do Porto between andatending to gender, age, clinical manifestations and tubercu,oide findings. International Journal of Osteoarchaelogy ; 2: Weekly Epidemiological Record22 May.

This consists in the intradermal injection of lepromin extract of the leprous bacillus taken from sick patients. N Engl J Med ; Ni los dimorfos ni los indeterminados presentaron discapacidad en las manos. This rhinomaxillary syndrome only corresponds to the lepromatous form of leprosy 7which is that suffered by the patient described here Figure 1 and, most likely, was what affected his close relatives.

Such bacteriological findigs and the proved mutation of tuberculoid leprosy into lepromatous type, demolished the basis of the so-called “polar” classification of leprosy.

Hansen Neuropathy: Still a Possible Diagnosis in the Investigation of a Peripheral Neuropathy.

The phalanx and metacarpal or metatarsal bones are often affected, with marked shortening that may leave only a stump 1. He suffered from protein-energy malnutrition. Without anti-leprosy treatment since due to negativization. Case report Male patient aged 65 with no known allergies; he smokes twenty cigarettes a day and has a tubfrculoide of moderate alcohol abuse.

Discussion – Facial alterations: