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2017, Number 6

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Rev Clin Esc Med 2017; 7 (6)

Enfermedad de Hansen: A propósito de un Caso Médico-Legal

Flores SG, Rivera CAL, Solano CP
Full text How to cite this article

Language: Spanish
References: 7
Page:
PDF size: 231.99 Kb.


Key words:

Hansen`s disease, Leprosy, Diagnostic delay.

ABSTRACT

Hansen's disease is a chronic inflammatory infectious disease that damages the skin, nerves and other internal organs (testicles, li- ver, etc.) caused by the Mycobacterium leprae complex. Clinical presentation occurs with a broad spectrum symptoms, including hypopigmented anesthetic patches, elevated erythematous plaques, nodules and thickening of peripheral nerves showing sensitivity. The most important complication is disability and deformity. The diagnosis of leprosy is often delayed due to its similarity with other more common skin conditions that prevail in some non-endemic areas. We present a case of a female, who is diagnosed with Hansen's disease, after 7 years of being treated for other pathologies such as anemia, pemphigus and peripheral polyp neuropathy, among others.


REFERENCES

  1. OMS. Lepra. Nota descriptiva N°101 [Enero, 2014] Disponible en: http://www.who.int/mediacentre/factsheets/f s101/es/

  2. Ministerio de Salud, CCSS, Inciensa, UCR. Normas para la atención integral y control de la enfermedad de Hansen en Costa Rica, publicadas en el Diario Oficial La Gaceta N0. 204 del 23 de octubre del 2013

  3. Lockwood DN, Suneetha S. Leprosy: too complex a disease for a simple elimination paradigm. Bull World Health Organ. 2005;83(3):230-5.

  4. Jaramillo-Antillón O, Espinoza-Aguirre A, Lobo-Philp R. Hansen en Costa Rica: pasado, presente y futuro. Acta Médica Costarricense. 2009; 51:229-3

  5. 5, PAHO. Plan de Acción para acelerar el logro de la Eliminación de la Lepra en América Latina y el Caribe (Líneas de Acción para alcanzar las metas y los logros regionales 2012-2015). In: PAHO, editor. 2012. p. 64.

  6. Peña L. La naturaleza dual del proceso diagnóstico y su vulnerabilidad a los sesgos cognitivos. Rev Med Chile. 2012; 140: 806- 810.

  7. Alves CRP, Ribeiro MMF, Melo EM, Araújo MG. Teaching of leprosy: current challenges. An Bras Dermatol. 2014; 89(3):454–9.




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Rev Clin Esc Med. 2017;7