Coronados VY, Huaman HGG, García JD

Language: Spanish
References: 6
Page: 1-8
PDF size: 441.76 Kb.

ABSTRACT

The disabilities caused by leprosy affect mainly the peripheral nervous system in its most distal branches. Anesthetic disorders, motor paralysis and trophic disorders cause a number of clinical manifestations and disabilities in the eyes, hands and feet. The case is presented of a 55-year-old male patient diagnosed with lepromatous leprosy, with multiple ulcerated lesions at the level of his legs and arms, of variable sizes, with bone resorption of hands and feet as a complication. The patient presented clinical improvement of the lesions after pharmacological treatment. The importance of this case lies in the fact that, although leprosy can be cured, the late diagnosis of the disease can cause serious disabilities, which could be prevented with adequate control and follow-up of patients and multidisciplinary management.

REFERENCES

1. Jaramillo L, Giraldo M, Arboleda M, Rodríguez G. Lepra neural pura de 18 años de evolución. Infection. 2016 [acceso 17/03/2020];21(2). Disponible en: http://www.scielo.org.co/pdf/inf/v21n1/0123-9392-inf-21-01-00056.pdf

2. Fischer J, Jaled M, Olivares L, Pardo Mendez N, Loos M. Lepra y discapacidad grado 2. Revisión de 10 años del Servicio de Dermatología del Hospital F. J. Muñiz. Trabajos originales. 2013 [acceso 17/03/2020];21(2). Disponible en: http://www.dermatolarg.org.ar/index.php/dermatolarg/article/view/1218/685

3. Guillén Rodríguez G, Samaniego Ruiz MJ, Fuster Diana CA. Estudio descriptivo de la lepra en residentes del sanatorio de Fontilles. Formación Dermatológica. 2016 [acceso 17/03/2020];10(27). Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=5472702

4. World Health Organization. Global leprosy update, 2017: reducing the disease burden due to leprosy. Wkly Epidemiol Rec. 2018 [acceso 17/03/2020];35(93):445-56. Disponible en: https://apps.who.int/iris/bitstream/handle/10665/274289/WER9335.pdf?ua=1

5. Díaz O, Cano R. Vigilancia de la lepra en España en 2017-2018 y situación mundial. 2018 [acceso 17/03/2020];26(8):117-26. Disponible en: https://core.ac.uk/download/pdf/296427845.pdf

6. Sánchez Machado OF, Martínez Fando B, Palacios Madrazo I, Lugo González AM, Quintana García T. Comportamiento clínico y epidemiológico en el diagnóstico tardío de lepra. Gac Méd Espirit. 2014 [acceso 09/05/2020];16(1). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1608-89212014000100005