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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However, as positive results are also obtained in patients without leprosy this test only serves to assess the immunological state in already-diagnosed patients 1,6.

Lepromatous leprosy in index cases was more frequently associated with leprosy in the couple. The nasal mucosa become ulcerated and form scabs. In other cases the bone involvement is secondary to peripheral neuropathy. The epidemiology of leprosy.

All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License. A hard and rigid irregular nerve trunk is sometimes observed in the more superficial areas of the elbow cubital nerve or at the head of lepraa fibula peroneal nerve. Without anti-leprosy treatment since due to negativization. How to cite this article. In most nerve samples tuberculoid type of disease was tubercluoide. Clinical exams were performed and personal interviews carried out with couples suffering from leprosy.

The diabetes and anaemia to be monitored by the general practitioner, and the hepatopathy by a digestive specialist. The differential diagnosis includes systemic lupus erythematosus, sarcoidosis, cutaneous leishmaniasis and other skin diseases, tertiary syphilis, cicatricial lerpa, 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.


There were suppurating ulcers oepra the right trochanter and at the head of the left fibula.

Hansen Neuropathy: Still a Possible Diagnosis in the Investigation of a Peripheral Neuropathy.

Am J Epidemiol ; Facial and oral examination: The incubation period of the disease tkberculoide last up to six years. Int J Lepr other Mycobact Dis ; International Journal of Osteoarchaelogy ; 2: This is treated with NPH insulin. He is being monitored by his general practitioner and receives domiciliary care for his left knee lesions and diabetes.

Hopefully the present report will serve to remind us that this stigmatized pathology should not be forgotten. Extended studies on the viability of Mycobacterium leprae outside the human body. This presented an obstacle in terms of following an adequate dental treatment. Full text available tuverculoide in PDF format.

When the primary case was paucibacillary, no multibacillary leprosy occurred in the secondary case.

Saúde Pública – Lepra Conyugal Lepra Conyugal

Such bacteriological findigs and the proved mutation of tuberculoid leprosy into lepromatous tubecruloide, demolished the basis of the so-called “polar” classification of leprosy. There were some pigmented lesions on the distal third of the hard palate; the rest of the mucosa showed a normal appearance Figures 2 and 3. The disease presents polar clinical forms the “multibacillary” lepromatous leprosy and the “paucibacillary” tuberculoid leprosyas well as other intermediate forms with hybrid characteristics.

Patient contact is the major determinant in incident leprosy: Conyugal leprosy among Libian patients. He ldpra had problems swallowing and presented solid and liquid dysphagia. El-orf, A, Stugh AM.

The persistence of the bacteria and the subsequent destruction of nerve fibres are the cause of anaesthesia in hands and feet 1,9. This leads to loss of periodontal support for the upper middle incisors, which eventually fall out.

The nasal secretions are literally teeming with leprous bacilli, and hence airborne dissemination, via sneezing, would seem to be the most likely tubegculoide for leprosy to be spread nowadays.


Determining the occurrence of leprosy amongst couples and establishing the type of leprosy in index and secondary cases. Administration of paracetamol, haloperidol, NPH insulin and rohypnol.

Although the trunk may be affected, few lesions are generally observed in this region 1.

Disabilities were more common in the feet and to a higher degree in lepromatous index cases who had had the disease for a longer time than the secondary cases because these were more frequently paucibacillary patients who had a disease having shorter evolution.

Blood tests upon admission corroborated the anaemic state and the hepatic and renal alterations indicated previously. Clinical aspects of leprosy.

Lepr Rev ; The diagnosis, based on clinical suspicion, is confirmed through bacteriological and histopathological analyses in which non-caseating granulomas are observedas well as by means of the lepromin test intradermal reaction that is usually negative in lepromatous leprosy form and positive in the tuberculoid lepar 6.

Its preference for cooler anatomical regions means that vital organs are usually preserved, but also makes leprosy a disease that slowly destroys the distal areas of tuberculoidde and toes and causes nasal and facial deformities that lead to social marginalization.

The differential diagnosis includes systemic lupus erythematosus, sarcoidosis, cutaneous leishmaniasis and other skin diseases, tertiary syphilis, lymphomas, systemic mycosis, traumatic lesions and malignant neoplasias, among other disorders.