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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Patient contact is the major determinant in incident leprosy: Although regarded as eradicated in Portugal, is still documented in neuropathological study of patients with clinical peripheral neuropathy without proper diagnosis.

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

Case report Male patient aged 65 with no known allergies; he smokes twenty cigarettes a day and has a history of moderate alcohol abuse. Discussion – Facial alterations: Nevertheless, much remains to be known about the mechanism of interaction between the two diseases and further research is required.

Este comportamiento es el informado en los casos de lepra conyugal 7, In addition to traumatic lesions, the loss of cutaneous tissue favours lspra infections, ulcers and spreading to deeper tissues. Lepromatous rhinitis may spread to the maxilla and be complicated by secondary pyogenic infections.

Around one-third of people with leprosy present the first clinical manifestations during childhood. It is usually negative in lepromatous leprosy and positive in the tuberculoid form.

Saúde Pública – Lepra Conyugal Lepra Conyugal

Secretion cultures from the ulcers on the lower extremities right trochanter and head of the left fibula were positive for Staphylococcus aureus. 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.

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He suffered from protein-energy malnutrition. He is being monitored by his general practitioner and receives domiciliary care for his left knee lesions and diabetes. There may also be destruction of the anterior maxilla and loss of teeth. 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, This nodular dermal appearance, often referred to as leonine facies, is another facial deformity characteristic of leprosy 1,8.

Leprous patients with a positive Mitsuda reaction usually present a histological tissue reaction similar to that found in tuberculosis, and hence the name give to this clinical form is tuberculoid leprosy. The incubation period of the disease may last up to six years.

Dermatology Online Journal

In very advanced cases this process may spread to the sides and even reach the canine teeth. It is believed that these patients are much tuberculojde contagious than those with lepromatous leprosy 1,6. In most nerve samples tuberculoid type of disease was identified. Acid-fast bacilli in semen; correlation with bacterial index.

It is very rare for the reverse trend to be observed spontaneously, and it is only seen in treated patients 1. Determining the occurrence of leprosy amongst couples and establishing the type of leprosy in index and secondary cases. Int J Lepr other Mycobact Dis ; Should household contact examination in a low endemic situation of leprosy continue? Extended studies on the viability of Mycobacterium leprae outside the human body.


This consists in the intradermal injection of lepromin extract of the leprous bacillus taken from sick patients. Their border is much less defined than in the tuberculoid form of leprosy.

Int J Epidemiol Nature Genet ; La baja patogenicidad de M.

Under these circumstances the clinical form begins to acquire certain lepromatous characteristics, with aspects of BL, the intermediate form or, more rarely, BT. 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. It is transmitted from person to person and has a long incubation period between two and six years.

Its preference for cooler anatomical regions means that vital organs are usually preserved, but also makes leprosy a disease that slowly destroys the distal areas of fingers and toes and causes nasal and facial deformities that lead to social marginalization. The Cambridge Encyclopedia of Human Paleopathology.

Dermatol Rev Mex ; This rhinomaxillary syndrome only corresponds to the lepromatous form of leprosy 7which is that suffered by the patient described here Figure 1 and, most likely, was what affected his close relatives.