Terencio AJ

Language: Spanish
References: 9
Page: 50-55
PDF size: 2967.44 Kb.

ABSTRACT

Leprosy produce severe discapacity due the neurological peripheric affectation with sensitive , motor and trophics disorders in hands, feet and toes. In hands also in nails, being the anesthesia an important factor, as well as traumatisms, vascular changes and opportunist infection.
We set out our experience observing alterations in the nails in a 48% of patients, in both sex. The most frequent injuries are the distrophia, onicogriphosis, onicorrexis hiperkeratosis, matrix opacity, parallel groove, fragility, difusse lunula, dryness, paroniquia and infecction. They are a very slow process and more frequent in advances multibacillary and paucibacillary forms, and it is not rare to find mycobacteria affecting the feet more than the hands.
This onicopatia goes with a progressive reabsorption of the fingers and toes with acroosteolisis of terminal phalanges being the ungueal remains the last to disappear.
The best treatment is the early diagnosis and specific multitherapy before the irreversible neural affection appears.

REFERENCES

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2. Gómez Orbaneja y García Pérez. La Lepra. 1953. Edit. Paz Montalvo. Madrid, pp. 253-4.

3. Kato L, Nacandakari S. Alteracöes ungueais especificas da Hanseniase. Hansenologia Int 1998; 23: 59-63.

4. Noguera M, Lavalle P, Ruiz Maldonado R. Estudio micosico e histopatologico de las alteraciones ungueales en la Lepra. Memoria V Congreso Mexicano de Dermatologia (México DF) 1989, pp. 243-6.

5. Patki H, Baran R, Significance nail changes in Leprosy: A clinical Review of 357 cases. Sem Dermatol 1991; 10: 77-81.

6. Sánchez Regaña, Katsambas A, Ocampo J, Distrofias ungueales. Ed: Isdin, Barcelona 2009.

7. Terencio de las Aguas J. Ainhum y Pseudoainhum en la Lepra. Rev Fontilles 1976; 10: 347-65.

8. Terencio de las Aguas J, Lesiones osteoarticulares en la Lepra. Rev Fontilles 1997; 21: 195-219.

9. Terencio de las Aguas J. Lepra Situación Actual (I). Lesiones neurales. Monogr Dermatol 2000; 13: 320-8.