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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Lepra lepromatosa: Revisión y caso clínico

It is believed that these patients are much less contagious than those with lepromatous leprosy 1,6. There may also be destruction of the anterior maxilla and loss of teeth 1,2,4,5. Este comportamiento es el informado en los casos de lepra conyugal 7, Although the position of a given patient on this spectrum is relatively stable the immune response which characterises tuberculoid leprosy may deteriorate in untreated patients, especially in those who suffer malnutrition or other infections International Journal of Osteoarchaelogy ; 2: How to cite this article.

Once signs have appeared the disease will generally progress slowly unless treated.

Mycobacterium leprae, lepromatous leprosy, tuberculoid leprosy, differential diagnosis. Centro Hospitalar do Tuberculode. There may also be destruction of the anterior maxilla and loss of teeth. The diagnosis, based on clinical suspicion, is confirmed through bacteriological and histopathological analyses, as well as by means of the lepromin test intradermal reaction that is usually negative in lepromatous leprosy form and positive in the tuberculoid form.


Rev Leprol Fontilles ; This is treated with NPH insulin. All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License. Patients with lepromatous thberculoide are highly infectious, although most exposed immunocompetent individuals do not contract the disease.

The incubation period of the disease may last up to six years.

Dermatology Online Journal

Oral lesions in leprosy. A review and case report.

Domiciliary care to be arranged for treating the ulcers. The differential diagnosis includes systemic lupus erythematosus, tuberculpide, cutaneous leishmaniasis and other skin diseases, tertiary syphilis, lymphomas, systemic mycosis, traumatic lesions and malignant neoplasias, among other disorders. This leads to loss of periodontal support for the upper middle incisors, which eventually fall out.

He lives with his wife, a daughter and five grandchildren. Intrafamilial transmission of leprosy in Vellore Town, India. Household and dwelling contact as risk factor for leprosy in Northern Malawi. Their border is much less defined than in the tuberculoid form of leprosy. The present case report describes a patient with lepromatous leprosy acquired within a contagious family setting during childhood and adolescence. Lepromatous leprosy usually begins in the form of chronic rhinitis.

Depending on the stage at which they are diagnosed, the appearance of these lesions may be similar to those of other conditions and this makes the differential diagnosis difficult 2,6, Patient contact is the major determinant in incident leprosy: Facial and oral examination: The patient reported here suffered both bilateral blindness and leonine facies Figure 1.


This multibacillary clinical form is known as lepromatous leprosy. Clinical histories of patients registered in the Leprosy Control Programme were reviewed. Quinolones, such as ofloxacin and pefloxacin, as well as some macrolides, such as clarithromycin and minocyclin, are also effective. The differential 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.

Ortner D, Aufderheide AC, eds. Atlas de enfermedades orales. Impact of MDT on incidence rates leprs leprosy among household contacts. The rhinomaxillary syndrome in leprosy: At some undetermined point the patient suffers an initial bacillaemia, which may be repeated through recurrent episodes or progress toward a continuous bacteraemia.

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