Histoid Leprosy Presenting with Keloid Like Lesions.

Q4 Medicine
Indian journal of leprosy Pub Date : 2016-04-01
S P Nair, G N Kumar, R Mathew
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引用次数: 0

Abstract

A 42 year old male presented with multiple, discrete, hyperpigmented, firm, non elastic, non tender papules and plaques on the posterior trunk of 5 months duration, resembling keloid. The patient had also a few skin colored papules on the anterior trunk and face. The sensations over the skin lesions were intact. The patient had glove and stocking type of anesthesia and bilaterally thickened, non tender peripheral nerve trunks. The slit skin smear for acid fast bacilli from the ear lobes, skin lesions and normal skin were highly positive for Mycobacterium leprae. A skin biopsy showed a well defined collection of spindle shaped histiocytes in the dermis packed with acid fast bacilli. We are presenting here a case of histoid leprosy presenting with keloid like lesions, probably the rarest presentation of histoid leprosy.

组织性麻风病表现为瘢痕疙瘩样病变。
一个42岁的男性表现为多发性,离散,色素沉着,坚定,无弹性,无压痛丘疹和斑块在后躯干持续5个月,类似瘢痕疙瘩。患者在前躯干和面部也有一些皮肤颜色的丘疹。皮肤损伤处的感觉完好无损。患者采用手套和长袜式麻醉,双侧周围神经干增厚,无压痛。耳垂、皮损及正常皮肤的抗酸杆菌割缝皮肤涂片对麻风分枝杆菌呈高阳性。皮肤活组织检查显示真皮内有纺锤形组织细胞,其中充满了抗酸杆菌。我们在此报告一个以瘢痕疙瘩样病变为表现的组织样麻风病病例,这可能是组织样麻风病最罕见的表现。
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来源期刊
Indian journal of leprosy
Indian journal of leprosy Medicine-Dermatology
CiteScore
0.50
自引率
0.00%
发文量
0
期刊介绍: Indian Journal of Leprosy is one of the oldest journals of India published quarterly by Hind Kusht Nivaran Sangh (Indian Leprosy Association) since 1929. The Journal covers all research aspects of leprosy, tuberculosis and other mycobacterial diseases.
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