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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Treatment plan upon discharge: Domiciliary care to be arranged for treating the ulcers. From the clinical point of view the greater evidence of pathology appears when the nasal bones, the nasal spine and even the midline maxillary region become affected; the erosion or complete destruction of the latter leads to tissue collapse, with sinking and spreading of the overlying skin and other soft tissues saddle nose.

The peripheral lepraa are usually affected by the bacillus in lepromatous leprosy.

Dermatology Online Journal

Leprosy lesion of the prepuce of the male genitalia: The mean age at diagnosis was 52 years, and sensory symptoms predominate as neurological manifestation of disease. The disease presents polar clinical forms the “multibacillary” lepromatous leprosy and the “paucibacillary” tuberculoid leprosyas well as other intermediate forms with hybrid characteristics Table 1.

Este comportamiento es el informado en los casos de lepra conyugal 7, This multibacillary clinical form is known as lepromatous leprosy.

It is transmitted from person to person and has a long incubation period between two and six years. The diagnosis, based on clinical suspicion, is confirmed through bacteriological and histopathological analyses, as well as by means of the lepromin test intradermal reaction that is usually negative in lepromatous leprosy form and positive in the tuberculoid form. Hopefully the present report will serve to remind us that this stigmatized pathology should not be forgotten.

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Desikan KV, Srivastava G. The facial skin shows areas of localized swelling, with deep furrows between them.

Oral lesions in leprosy. In most nerve samples tuberculoid type of disease was identified. Patient contact is the major determinant in incident leprosy: Clinical histories of patients registered in the Leprosy Control Programme were reviewed.

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

There may also be destruction of the anterior maxilla and loss of teeth. High oral prevalence of Candida krusei in leprosy patients in Northern Thailand. Weekly Epidemiological Record22 May. Clinical aspects of leprosy. Tiberculoide Clin Microbiol ; Hansen disease remains a public health problem in tropical areas and, although rare, still described in Western tubetculoide reason why should still be considered as a diagnostic possibility in the investigation of peripheral neuropathy.

Time trends in the analysis of incidence rate of leprosy among household contacts. This external soft tissue deformity constitutes one of the main facial alterations seen in patients with leprosy 1. It should also be borne in mind that the characteristics of leprous lesions are not always as evident as those described here. The ulcers are slow to heal, and produce atrophic scarring or even tissue destruction. Depending on the stage at which they are diagnosed, the appearance of these lesions may be similar to those of other conditions and this makes the differential diagnosis difficult 2,6, The phalanx and metacarpal or metatarsal bones are often affected, with marked shortening that may leave only a stump 1.

Determining the occurrence of leprosy amongst couples and establishing the type of leprosy in index and secondary cases. De las Aguas, T.

His skin was dry, pale and sclerotic. This presented an obstacle in terms of following an adequate dental treatment. These are hypopigmented in dark-skinned people and erythematous in those with light skin. Diet to include carbohydrate monitoring and dietary supplements.


Their border is much less defined than in the tuberculoid form of leprosy. The incubation period of the disease may lelra up to six years. The differential ttuberculoide includes systemic lupus erythematosus, sarcoidosis, cutaneous leishmaniasis and other skin diseases, tertiary syphilis, cicatricial pemphigoid, ldpra midline granuloma, lymphomas, systemic mycosis, traumatic lesions and malignant neoplasias, as well as peripheral nerve pathology such as syringomyelia, among other disorders 2,6.

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 tuberculoude the testicles. Inthe WHO attempted to describe these degrees of semi-quantitative response, designating them as borderline tuberculoid BT and borderline lepromatous BL It is usually negative in lepromatous leprosy and positive in the tuberculoid form.

The resulting nodules may become ulcerated. 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. Correlation of oral surface temperatures and the lesions of leprosy. Ortner D, Aufderheide AC, eds.

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

Secretion cultures from the ulcers on the lower extremities right trochanter and head of the left fibula were positive for Staphylococcus aureus. ReadCube Visualizar o texto. Multiple amputations bilateral metacarpophalangeal, left metatarsophalangeal and nose due to relapsing infection of the septum, performed during the active phase of the disease Figure 1 secondary to the leprous infection.