Extensive Lepromatous Lymphadenitis Preceding Lesions on the Face and Earlobes: An Unusual Presentation of Leprosy in Singapore
Autor: | Chen Wee Derrick Aw, Wai Mun Sean Leong, Cruz Maria Teresa Kasunuran, Shi Yao Sam Yang, Sue-Ann Ju Ee Ho, Jing Xiang Huang, Reshma A Merchant |
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Jazyk: | angličtina |
Rok vydání: | 2018 |
Předmět: |
0301 basic medicine
medicine.medical_specialty 030231 tropical medicine Single Case Dermatology HANSEN DISEASE 03 medical and health sciences 0302 clinical medicine medicine Nose bridge lcsh:Dermatology Mycobacterium leprae Lepromatous leprosy biology business.industry Pinna Disease progression lcsh:RL1-803 biology.organism_classification medicine.disease Lepromatous lymphadenitis 030104 developmental biology Leprosy business Skin lesion |
Zdroj: | Case Reports in Dermatology Case Reports in Dermatology, Vol 10, Iss 1, Pp 35-40 (2018) |
ISSN: | 1662-6567 |
Popis: | Leprosy is also known as Hansen disease, as in some countries the diagnosis of leprosy carries a negative stigma and patients fear being shunned as outcasts. Presently, leprosy is primarily limited to specific geographical regions in resource-poor countries. As a result, there is increased difficulty for the younger generation of physicians today to correctly identify leprosy due to a lack of exposure and a low-index of suspicion, particularly in developed countries. In this case, the indurated lesions over the face demonstrated a preference for the outer lateral aspects over the maxillary areas, the nose bridge, and the pinna of the ears consistent with the organism’s preference for cooler regions of the body. This was also evident in the other skin lesions affecting the more acral regions of the limbs in the early stage of disease progression. There is a need to keep this infective condition as an alternate diagnosis to all unusual cutaneous lesions. |
Databáze: | OpenAIRE |
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