RESUMEN
Leprosy is a neglected disease caused by Mycobacterium leprae and Mycobacterium lepromatosis, and is related to significant disabilities resulting from the neural damage generated by this mycobacteria. Neuropathic ulcers-lesions that can appear at the plantar and extra-plantar levels-are one such disability, and diagnosis requires an adequate dermatological, neurological and microbiological evaluation. The treatment of these lesions is based on a multidisciplinary approach that includes debridement of the necrotic tissue, controlling infections, reducing pressure areas, optimising blood flow, and nerve decompression. This review aims to describe the clinical features, diagnostic methods and treatment of neuropathic ulcers in leprosy. The diagnostic methods and medical management used in leprosy ulcers are based on those used for diabetic foot. This requires radical change as these diseases are immunologically and physiologically very different.
Asunto(s)
Pie Diabético , Lepra , Úlcera Cutánea , Pie Diabético/terapia , Humanos , Lepra/complicaciones , Lepra/diagnóstico , Lepra/terapia , Úlcera Cutánea/patología , ÚlceraAsunto(s)
Criptococosis/diagnóstico , Dermatosis Facial/microbiología , Úlcera Cutánea/microbiología , Criptococosis/complicaciones , Criptococosis/patología , Dermatosis Facial/patología , Humanos , Huésped Inmunocomprometido , Trasplante de Riñón , Masculino , Persona de Mediana Edad , Úlcera Cutánea/patologíaRESUMEN
Leprosy, or Hansen's disease (HD), is caused by the bacterium Mycobacterium leprae and is a significant cause of morbidity worldwide. Clinical manifestations range from isolated skin rash to severe peripheral neuropathy. Treatment involves a prolonged course of multiple antimicrobials. Although rare in the U.S., with only 168 new cases reported in 2016, HD remains a prevalent disease throughout the world, with 214,783 new cases worldwide that same year.1 It remains clinically relevant for service members born in and deployed to endemic regions. This report describes a case of HD diagnosed in an active duty soldier born and raised in Micronesia, a highly endemic region.
Asunto(s)
Lepra/patología , Personal Militar/estadística & datos numéricos , Mycobacterium leprae , Enfermedades Profesionales/patología , Úlcera Cutánea/patología , Humanos , Lepra/epidemiología , Lepra/microbiología , Masculino , Micronesia/epidemiología , Enfermedades Profesionales/epidemiología , Enfermedades Profesionales/microbiología , Úlcera Cutánea/microbiología , Estados Unidos/epidemiología , Adulto JovenRESUMEN
Se presenta caso de paciente masculino de 67 años de edad, fototipo III, con antecedentes patológicos personales de lepra lepromatosa en tratamiento, que acude a consulta especializada de Dermatología en el Hospital Guillermo Fernández Baquero (La Habana, Cuba) por lesiones ulcerosas diseminadas. Se realizan complementarios y se concluye caso como fenómeno de Lucio. Resaltando la infrecuencia de este eritema necrosante y la severidad de los estados reactivos de la lepra pues son procesos distintos pero destructores de los tejidos, supuestamente dirigidos por el sistema inmunológico que aumentan en gran medida la morbimortalidad de esta enfermedad
A case of a 67 year old male patient, phototype III, with a personal pathological history of lepromatous leprosy in treatment is presented at a specialized dermatology clinic at Guillermo Fernández Vaquero hospital for disseminated ulcerative lesions. Complementary are performed and case is concluded as a phenomenon of Lucio. Highlighting the infrequency of this necrotizingerythema and the severity of the reactive states of leprosy are different but destructive processes of the tissues, supposedlydirected by the immune system that greatly increase the morbidity and mortality of this disease.
Asunto(s)
Humanos , Masculino , Anciano , Úlcera Cutánea/diagnóstico , Úlcera Cutánea/etiología , Lepra Lepromatosa/complicaciones , Úlcera Cutánea/patología , Eritema , NecrosisRESUMEN
Leprosy is a chronic infectious disease caused by Mycobacterium leprae. Approximately 30% of patients with leprosy develop nerve damage. Trophic, or neuropathic, ulcer is a common complication of an anesthetic foot. The term plantar, trophic, or perforating ulcer was introduced in 1959. It was defined as a chronic ulceration of the anesthetic foot, situated in well-defined areas overlying bony prominences, resistant to local and/or systemic therapy, and characterized by a marked tendency to recur. It is responsible for much of the morbidity associated with leprosy.
Asunto(s)
Enfermedades Endémicas/estadística & datos numéricos , Lepra/tratamiento farmacológico , Lepra/epidemiología , Úlcera Cutánea/etiología , Enfermedad Crónica , Femenino , Humanos , Lepra/patología , Masculino , Mycobacterium leprae/patogenicidad , Prevalencia , Pronóstico , Recurrencia , Medición de Riesgo , Úlcera Cutánea/tratamiento farmacológico , Úlcera Cutánea/patología , Tasa de SupervivenciaRESUMEN
Abstract Lucio’s phenomenon is an uncommon reaction characterized by severe necrotizing cutaneous lesions that occurs in patients with Lucio’s leprosy and lepromatous leprosy. It is considered by some authors as a variant of type 2 or 3 reaction. Death can occur because of blood dyscrasia or sepsis. Precipitating factors include infections, drugs and pregnancy. We report a 31-year-old female patient exhibiting both clinical and histopathological features of lepromatous leprosy and Lucio’s phenomenon presenting favorable response to treatment. We complement our report with a literature review of the Brazilian cases of Lucio’s phenomenon published in Portuguese and English.
Asunto(s)
Humanos , Femenino , Adulto , Úlcera Cutánea/patología , Lepra Lepromatosa/patología , Piel/patología , Úlcera Cutánea/tratamiento farmacológico , Biopsia , Índice de Severidad de la Enfermedad , Brasil , Lepra Lepromatosa/tratamiento farmacológico , Resultado del Tratamiento , NecrosisAsunto(s)
Eritema Nudoso/diagnóstico , Eritema Nudoso/patología , Extremidades , Dermatosis Facial/diagnóstico , Dermatosis Facial/patología , Lepra Lepromatosa/diagnóstico , Lepra Lepromatosa/patología , Úlcera Cutánea/diagnóstico , Úlcera Cutánea/patología , Adulto , Biopsia , Diagnóstico Diferencial , Humanos , Masculino , Necrosis , Piel/patologíaRESUMEN
Lucio's phenomenon is an uncommon reaction characterized by severe necrotizing cutaneous lesions that occurs in patients with Lucio's leprosy and lepromatous leprosy. It is considered by some authors as a variant of type 2 or 3 reaction. Death can occur because of blood dyscrasia or sepsis. Precipitating factors include infections, drugs and pregnancy. We report a 31-year-old female patient exhibiting both clinical and histopathological features of lepromatous leprosy and Lucio's phenomenon presenting favorable response to treatment. We complement our report with a literature review of the Brazilian cases of Lucio's phenomenon published in Portuguese and English.
Asunto(s)
Lepra Lepromatosa/patología , Úlcera Cutánea/patología , Adulto , Biopsia , Brasil , Femenino , Humanos , Lepra Lepromatosa/tratamiento farmacológico , Necrosis , Índice de Severidad de la Enfermedad , Piel/patología , Úlcera Cutánea/tratamiento farmacológico , Resultado del TratamientoRESUMEN
A case of a 70 year old lady with borderline tuberculoid leprosy who presented with a chronic ulcer and associated myth has been illustrated. The need for awareness programmes focusing on these types. of myths has been stressed.
Asunto(s)
Lepra Paucibacilar/diagnóstico , Lepra Paucibacilar/patología , Úlcera Cutánea/diagnóstico , Úlcera Cutánea/patología , Anciano , Femenino , Humanos , Leprostáticos/uso terapéutico , Lepra Paucibacilar/tratamiento farmacológico , Hechicería/psicologíaRESUMEN
Leprosy has been a challenge in different areas of medicine; in underdeveloped countries it remains a public health problem, in which the social and economic problems facilitate the disease persistence. The diagnosis and consequently the treatment are delayed due to the clinical polymorphism of leprosy, which especially at the beginning the manifestations are not as evident, as is the case of diffuse lepromatous leprosy. This favors the disabilities and the development of the reaction episodes. Fortunately, reaction episodes have decreased with the use of multidrug therapy, and better control of the type 2 reactions has been managed with the use of thalidomide, as in Lucio's phenomenon.
Asunto(s)
Leprostáticos/administración & dosificación , Lepra Lepromatosa/tratamiento farmacológico , Lepra Lepromatosa/patología , Mycobacterium leprae/efectos de los fármacos , Fenómenos Fisiológicos de la Piel/efectos de los fármacos , Úlcera Cutánea/patología , Biopsia con Aguja , Progresión de la Enfermedad , Quimioterapia Combinada , Femenino , Estudios de Seguimiento , Humanos , Inmunohistoquímica , Lepra Lepromatosa/complicaciones , Masculino , Medición de Riesgo , Índice de Severidad de la Enfermedad , Úlcera Cutánea/tratamiento farmacológico , Úlcera Cutánea/etiología , Talidomida/administración & dosificación , Talidomida/efectos adversos , Resultado del TratamientoRESUMEN
Leprosy has been a challenge in different areas of medicine; in underdeveloped countries it remains a public health problem, in which the social and economic problems facilitate the disease persistence. The diagnosis and consequently the treatment are delayed due to the clinical polymorphism of leprosy, which especially at the beginning the manifestations are not as evident, as is the case of diffuse lepromatous leprosy. This favors the disabilities and the development of the reaction episodes. Fortunately, reaction episodes have decreased with the use of multidrug therapy, and better control of the type 2 reactions has been managed with the use of thalidomide, as in Lucio's phenomenon.
Asunto(s)
Humanos , Masculino , Femenino , Fenómenos Fisiológicos de la Piel/efectos de los fármacos , Úlcera Cutánea/patología , Lepra Lepromatosa/tratamiento farmacológico , Leprostáticos/administración & dosificación , Úlcera Cutánea/terapia , Mycobacterium leprae/efectos de los fármacosRESUMEN
Penile ulcers may be caused by several different agents. Rarely, cutaneous leishmaniasis may also be accompanied by penile ulcers. We report a five-year-old boy with who had an ulcer on the glans penis. Smears from the ulcer demonstrated amastigotes, biopsy showed histopathological features of leishmaniasis and Leishmania was grown in culture. Treatment with meglumine antimoniate injections led to improvement.