RESUMO
During the year 1994-1995, 20 of the 67 leprosy patients attending the dermatology department with any kind of nerve involvement were found to be having nerve abscess. These abscesses occurred in all types of leprosy (except the Indeterminate) and a variety of nerve trunks and cutaneous nerves. In none of the instances the abscess was associated with reaction. All the patients were surgically treated, without any steroid therapy. All cases showed significant improvement whenever there was nerve function deficit. Similarly, pain was relieved in all cases, when it was present.
Assuntos
Abscesso/complicações , Hanseníase/complicações , Doenças do Sistema Nervoso Periférico/complicações , Abscesso/cirurgia , Adolescente , Adulto , Idoso , Criança , Feminino , Humanos , Hanseníase/classificação , Masculino , Pessoa de Meia-Idade , Dor/etiologia , Dor/cirurgia , Doenças do Sistema Nervoso Periférico/cirurgiaRESUMO
A case of 38-year-old male with multiple keratoacanthoma centrifugum marginatum is reported. Clinical presentation was in the form of multiple, firm, non-tender skin coloured nodules of variable sizes. Diagnosis was confirmed by the histopathological examination. The case is being reported because it is a rare variant of keratoacanthoma.
Assuntos
Histiócitos/patologia , Hanseníase/patologia , Adulto , Humanos , Hanseníase/diagnóstico , MasculinoAssuntos
Carcinoma de Células Escamosas/etiologia , Doenças do Pé/etiologia , Hanseníase/complicações , Neoplasias Cutâneas/etiologia , Úlcera Cutânea/complicações , Idoso , Carcinoma de Células Escamosas/patologia , Doenças do Pé/patologia , Humanos , Hanseníase/patologia , Masculino , Pessoa de Meia-Idade , Neoplasias Cutâneas/patologia , Úlcera Cutânea/patologiaRESUMO
Out of 514 leprosy cases studied, 229(44.56%) had disability. Disability was most commonly seen in lepromatous leprosy. There was an increasing trend in disability with increasing age of patient and duration of disease. Disability rate was higher in males as compared to females. Nerve thickening and reactional states were more common in disabled cases. Dapsone treated group showed a disability rate of 63.8% as compared to 30.0% in untreated group. Hand was the most commonly affected site and mobile claw hand was the single most common disability. The overall disability index-D.I. (2) of Bachelli was 1.25 and lepromatous cases had highest D.I. (1.89). Disability index was higher in males and was found to increase with increasing age of patient and duration of disease.
Assuntos
Pessoas com Deficiência , Hanseníase/fisiopatologia , Adolescente , Adulto , Fatores Etários , Idoso , Criança , Dapsona/efeitos adversos , Feminino , Humanos , Índia , Hanseníase Dimorfa/fisiopatologia , Hanseníase Virchowiana/fisiopatologia , Hanseníase Tuberculoide/fisiopatologia , Masculino , Pessoa de Meia-Idade , Fatores Sexuais , Fatores Socioeconômicos , Fatores de TempoRESUMO
Out of 500 leprosy patients screened for palmar and/or plantar lesions, eighteen cases were detected. They were classified according to Ridley-Jopling classification. In majority of cases it was macular lesion. Cases were from TT, BT and BB group. In 50% cases, palmo-plantar involvement was associated with type I reaction. In 66.7% cases, it was extension of patch from surrounding area, 11.1% cases isolated lesions were seen and in 22.2% cases both extension as well as isolated lesions were present.
Assuntos
Pé/patologia , Mãos/patologia , Hanseníase/patologia , Adolescente , Adulto , Biópsia , Criança , Feminino , Humanos , Hanseníase/classificação , Masculino , Pessoa de Meia-IdadeRESUMO
The cutaneous lesions of leprosy on male genitalia were studied. They were found in 2.9% of cases examined in this series. They were seen most commonly in borderline group. It is emphasised that it is not uncommon to find lesions on male genitalia in leprosy.
Assuntos
Genitália Masculina/patologia , Hanseníase/patologia , Adolescente , Adulto , Idoso , Biópsia , Humanos , Hanseníase/classificação , Hanseníase/diagnóstico , Masculino , Pessoa de Meia-IdadeRESUMO
A case of Tuberculoid leprosy who had taken irregular treatment for five years and had thickened ulnar nerve which on radiological examination showed calcification, is reported.
Assuntos
Calcinose/patologia , Hanseníase Tuberculoide/patologia , Nervo Ulnar/patologia , Adolescente , Calcinose/diagnóstico por imagem , Humanos , Hansenostáticos/uso terapêutico , Hanseníase Tuberculoide/tratamento farmacológico , Masculino , Doenças do Sistema Nervoso Periférico/diagnóstico por imagem , Doenças do Sistema Nervoso Periférico/patologia , Radiografia , Nervo Ulnar/diagnóstico por imagemRESUMO
Six cases of histoid variety of lepromatous leprosy among children below 12 years of age were detected in over 3 years period. Bacteriological index was high (3 to 5+). None of the patients had received any anti-leprosy treatment. It is a public health problem because of infectious nature of the disease, therefore early detection and management of this entity among children is important.