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2022, Number 3

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Folia 2022; 16 (3)

Late diagnosis of leprosy

González RZ, Romero GE
Full text How to cite this article

Language: Spanish
References: 9
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PDF size: 361.11 Kb.


Key words:

leprosy, Hansen's disease, late diagnosis.

ABSTRACT

Leprosy is a chronic, low-contagious, systemic infectious disease that mainly affects the skin and peripheral nerves. It occurs in people of any age and both sexes. Early diagnosis, in the first year of the appearance of the first symptoms of the disease, is of utmost importance and prevents disabilities. We report the case of a 55-year-old male patient admitted to the Dermatology Service at the hospital with four year evolution of blistering ulcerative skin lesions on the left hand and impaired sensitivity. The physical examination confirmed the thickening of the ulnar and radial nerves of the left arm, with areas of anesthesia and hypoesthesia in said limb. The result of anatomopathological study, as well as Hansen´s smear coding 2, reported Borderline Leprosy that evolved into Lepromatous Leprosy. We report this case due to the importrance of early diagnosis in the disease, and how it should always be considered.


REFERENCES

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  2. Bolognia JL, Schaffer J, Cerroni L, editores. Dermatología. 4 ed. Barcelona: Elsevier;2018.

  3. Arenas R. Atlas, diagnóstico y tratamiento. 5 ed. México D.F.: McGraw-Hill; 2013.

  4. Organización Panamericana de la Salud. Lepra al día. Boletín Eliminación de la leprade las Américas. Washington: OPS/OMS; 2001.

  5. Abreu Daniel A. Lepra: Normas Técnicas para el control y tratamiento. La Habana:Editorial Ciencias Médicas; 2008. p. 7.

  6. WHO. Leprosy Elimination Project. Desafíos para la consecución de laeliminación de la lepra. Indian J Lepr. 2005;72(1):33-45.

  7. Wolff K, Goldsmith LA, Katz SI. Fitzpatrick. Dermatología en Medicina General.Tomo 3. Barcelona: Editorial Médica Panamericana; 2008.

  8. Eichelmann K, González González SE, Salas-Alanis JC, Ocampo-Candiani J. Leprosy.An Update: Definition, Pathogenesis, Classification, Diagnosis, and Treatment. ActasDermosifiliogr. 2013 [acceso 03/03/2019];104(7):12. Disponible en:http://www.actasdermo.org/en/leprosy-an-update-definitionpathogenesis/articulo/S1578219013001431/

  9. Consejo de Derechos Humanos de la Organización de las Naciones Unidas.Eliminación de la discriminación contra las personas afectadas por la lepra y susfamiliares: Resolución A/RES/29/5 aprobada por la Asamblea General 29 período desesiones. Ginebra: ONU; 2015. [acceso 03/03/2019]. Disponible en:https://digitallibrary.un.org/record/802131/files/A_HRC_RES_29_5-ES.pdf




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C?MO CITAR (Vancouver)

Folia. 2022;16