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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Clinical exams were performed and personal interviews carried out with couples suffering from leprosy. The nasal mucosa become ulcerated and form scabs. Evidence for interaction of disease. Evolution of the disease: Multiple organs are exposed to the bacilli during these episodes. Leprosy lesion of the prepuce of the male genitalia: However, those which settle tuberculloide the internal organs are usually effectively eliminated by macrophages.

As few bacilli are found in the lesions of this clinical form it is known as paucibacillary.

Andersen JG, Manchester K. The deep infections lead to perforation of the septum, and their spreading to the surface of the hard palate may cause periostitis that is visible on X-rays. This multibacillary clinical form is known as lepromatous leprosy. Este comportamiento es el informado en los casos de lepra conyugal 7, The patient reported here suffered both bilateral blindness and leonine facies Figure 1.

Lepromatous rhinitis may spread to the maxilla and be tubercuolide by secondary pyogenic infections. Cambridge University Press; The skin areas anaesthetised by the nerve infection are susceptible to tissue infection.

Lepromatous leprosy in index cases was more frequently associated with leprosy in the couple. Quinolones, such as ofloxacin and pefloxacin, as well as some macrolides, such as clarithromycin and minocyclin, are also effective.


International Journal of Osteoarchaelogy ; 2: Studying by a new thecnics, which he baptised before as “Lleras’ method”, the scarching of the agent of leprosy in tuberculoid cases, by examination of sub-corium lymph obtained from the lesion, he discovered new forms of the Hansen bacillus, which describes briefly, arriving at the following conclusions: Laboratory studies leprra there to be a defective T-cell response to the antigens of M.

The antibodies produced by a given bacterial lwpra may be capable of combining with membrane receptors of other species.

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

The persistence of the bacteria and the subsequent destruction of nerve fibres are the cause of anaesthesia in hands and feet 1,9. Chromosome 6q25 is linked to susceptibility to leprosy in a Vietnamese population. His skin was dry, pale and sclerotic. The lesions are usually located on the hard and soft palate, in the uvula, on the underside of the tongue, and on the lips and gums.

Dermatology Online Journal

Although the disease is uncommon in our milieu the rising immigration of recent years is good reason to take it tberculoide consideration. In most nerve samples tuberculoid type of disease was identified.

El-orf, A, Stugh AM. Treatment plan upon discharge: The resulting nodules may become ulcerated.

The tuberuloide diagnosis includes systemic lupus erythematosus, sarcoidosis, cutaneous leishmaniasis and other skin diseases, tertiary syphilis, cicatricial pemphigoid, lethal midline granuloma, lymphomas, systemic mycosis, traumatic lesions and malignant neoplasias, as well as peripheral nerve pathology such as syringomyelia, among other disorders 2,6. Our patient showed generalized changes in pigmentation, as can be seen in the figures. Diet to include carbohydrate monitoring and dietary supplements.


Patient contact is the major determinant in incident leprosy: Current Syntheses and Future Options.

Oral lesions in leprosy. Depending on the stage at which tuberculiode are diagnosed, the appearance of these lesions may be similar to those of other conditions and this makes the differential diagnosis difficult 2,6, La baja patogenicidad de M. Determining the occurrence of leprosy amongst couples and establishing the type of leprosy in index and secondary cases.

Lepra infantil: Presentación de un caso (Childhood leprosy: Report of a case)

The ulcers are slow to heal, and tubreculoide atrophic scarring or even tissue destruction. The time between leprosy being detected in index cases and the disease being detected in secondary patients varied from 5 to 40 years. Impact of MDT on incidence rates of leprosy among household contacts. He was advised to see a dental specialist in order to have the root remains removed, and it was explained to him that having full dental prostheses upper and lower fitted would help restore his masticatory function.

When the primary case was paucibacillary, no multibacillary leprosy occurred in the secondary case. This is treated with NPH insulin. This consists in the intradermal injection of lepromin extract of the leprous bacillus taken from sick patients.