RESUMO
This paper presents cytomorphological features of the histoid variety of lepromatous leprosy. Fine needle aspiration of a lepromatous nodule showed cytological features consistent with those of histoid leprosy. Simultaneously, a biopsy of the nodule was also performed and the case confirmed as histoid leprosy. The advantages of the fine needle aspiration technique are that it is simple, quickly reportable, and less traumatizing. Multiple aspirations from different sites may be obtained, which would add to the value of sampling. The need to differentiate a histoid nodule from a conventional lepromatous nodule is explained.
Assuntos
Hanseníase/diagnóstico , Dermatopatias Bacterianas/diagnóstico , Adulto , Citodiagnóstico , Diagnóstico Diferencial , Humanos , Hanseníase/patologia , Masculino , Pescoço , Dermatopatias Bacterianas/patologiaAssuntos
Dapsona/efeitos adversos , Hanseníase Dimorfa/tratamento farmacológico , Hanseníase Tuberculoide/tratamento farmacológico , Metemoglobinemia/induzido quimicamente , Adolescente , Ácido Ascórbico/uso terapêutico , Dapsona/uso terapêutico , Feminino , Humanos , Metemoglobinemia/tratamento farmacológico , Rifampina/uso terapêuticoRESUMO
Acute phase reactants i. e. ESR, C-reactive proteins, alpha 1 antitrypsin, complement (C3) and circulation immune complexes were evaluated in relation with the activity of the disease in leprosy. Levels of all the acute phase reactants were significantly raised during the active plase (LL and ENL), while these were normal during the arrested phase of the disease. Appearance of, circulating immune complexes also followed the same pattern. It is concluded that raised levels of ESR (C-reactive proteins, alpha-1 antitrypsin, complement (C3) and circulating immune complexes suggest active phase (LL ENL) of the disease in leprosy.
RESUMO
Autonomic neuropathy in leprosy has been reported recently. 25 cases of polar lepromatous leprosy with and without lepra-reaction and 25 normal control, have been studied for respiratory dysautonomia. In 12 cases out of 25 (48%) involvement of sympathetic respiratory reflexes has been observed. Possible causes of the same are discussed.
Assuntos
Doenças do Sistema Nervoso Autônomo/fisiopatologia , Eritema Nodoso/fisiopatologia , Hanseníase/fisiopatologia , Transtornos Respiratórios/fisiopatologia , Doenças do Sistema Nervoso Autônomo/complicações , Eritema Nodoso/complicações , Feminino , Humanos , Hanseníase/complicações , Masculino , Pico do Fluxo ExpiratórioRESUMO
In the present study presence of HBsAg in the serum of 130 leprosy patients (LL 50; ENL 30; TT 50) and its relationship with various complications has been studied. The HBsAg positivity in controls and various types of leprosy did not show any significant difference. Similarly complication also had no relation with HBsAg positivity. So we conclude that leprosy has no relation with HBsAg.