RESUMO
No disponible
Assuntos
Humanos , Feminino , Adulto , Eritema/complicações , Eczema/microbiologia , Mycobacterium leprae/isolamento & purificação , Biópsia , Dermatopatias/diagnóstico , Dermatopatias/microbiologia , Antebraço/microbiologia , Antebraço/patologia , Eritema/diagnóstico , Eczema/diagnóstico , Testes de Sensibilidade Microbiana/métodos , Sensibilidade e EspecificidadeAssuntos
Eritema Nodoso , Hanseníase , Adolescente , Feminino , Antebraço/patologia , Humanos , Perna (Membro)/patologia , Pele/patologiaRESUMO
Leprosy is rare in Australia, particularly in the southern states. We report two cases of leprosy in southern Australia that presented to the dermatology outpatients' department within a 4-month period. The presentation of the first case was complex, making the correct diagnosis difficult. Both cases involved immigrants from South-East Asia, were classified as multi-bacillary leprosy as defined by the World Health Organization, and were commenced on the recommended multiple drug therapy. The ensuing clinical course was complicated, with both cases developing Type 1 leprosy reactions. The first case also developed the rare but serious dapsone-induced delayed hypersensitivity reaction.
Assuntos
Hansenostáticos/uso terapêutico , Hanseníase Dimorfa/diagnóstico , Hanseníase Dimorfa/tratamento farmacológico , Adulto , Idoso de 80 Anos ou mais , Braço/patologia , Dorso/patologia , Clofazimina/uso terapêutico , Dapsona/efeitos adversos , Dapsona/uso terapêutico , Diagnóstico Diferencial , Hipersensibilidade a Drogas/etiologia , Quimioterapia Combinada , Face/patologia , Feminino , Antebraço/patologia , Glucocorticoides/uso terapêutico , Humanos , Hanseníase Dimorfa/microbiologia , Hanseníase Dimorfa/patologia , Masculino , Mycobacterium leprae/isolamento & purificação , Rifampina/uso terapêutico , Resultado do TratamentoRESUMO
Leprosy is an infectious disease of prevalence still high in endemic areas in Brazil. The neurological presentation depends on the involved nerve and is usually associated with skin lesions and the formation of multiple abscesses. We present a case of isolated tuberculoid leprosy, discuss the occurrence, the differential diagnosis and the treatment of this rare presentation and reaffirm the importance of considering leprosy in the differential diagnosis of patients with polyneuropathy or nerve enlargement with no skin lesions.
Assuntos
Antebraço/inervação , Antebraço/patologia , Hanseníase Tuberculoide/patologia , Doenças do Sistema Nervoso Periférico/microbiologia , Doenças do Sistema Nervoso Periférico/patologia , Adulto , Antibióticos Antituberculose/uso terapêutico , Brasil , Dapsona/uso terapêutico , Granuloma/microbiologia , Granuloma/patologia , Granuloma/fisiopatologia , Humanos , Hansenostáticos/uso terapêutico , Hanseníase Tuberculoide/microbiologia , Hanseníase Tuberculoide/fisiopatologia , Masculino , Doenças do Sistema Nervoso Periférico/fisiopatologia , Rifampina/uso terapêutico , Resultado do TratamentoRESUMO
We report two cases of nerve abscesses, one suffering from lepromatous leprosy (LL) and the other from tuberculoid neural leprosy. Neither had any signs of reactions. Both were untreated cases. Surgical nerve decompression and systemic prednisolone had resolved the nerve abscess in the first case, whereas the second one responded only to surgical nerve decompression. The unusual nature of clinical presentation of nerve abscess has been outlined.
Assuntos
Abscesso , Articulação do Cotovelo/patologia , Antebraço/patologia , Doenças do Sistema Nervoso Periférico/etiologia , Abscesso/etiologia , Abscesso/cirurgia , Adulto , Articulação do Cotovelo/cirurgia , Antebraço/cirurgia , Humanos , Hanseníase Virchowiana/complicações , Hanseníase Tuberculoide/complicações , Masculino , Doenças do Sistema Nervoso Periférico/fisiopatologia , Doenças do Sistema Nervoso Periférico/cirurgiaRESUMO
In this paper the authors study the sites of single lesions in 317 paucibacillary patients registered at the outpatient units of the CMS Jorge Saldanha and the Curupaiti State Hospital in Rio de Janeiro, Brazil. The preferential sites of lesions in the population studied, their relation with age and sex and factors likely to influence their distribution are discussed. The findings are compared with other similar studies performed in Asia and Africa.