边缘型麻风病：病例报告

IF 1.9 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Asian Pacific journal of tropical medicine Pub Date : 2024-07-01 DOI:10.4103/apjtm.apjtm_874_23

Nilshan Fernando, Chiranthi Welhenge, R. Premaratna, Ahamed Uwyse

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引用次数: 0

摘要

麻风病可有多种非典型表现，使早期诊断变得模糊不清。我们介绍了一例表现为非典型特征的麻风病病例，该病例造成了诊断上的两难。一名 48 岁的男子在三个月内出现双下肢水肿、双手和双脚出现鳞屑性 "鱼鳞病样 "皮疹、肝脾肿大和全血细胞减少，但没有任何典型的麻风病特征。皮肤活检结果出人意料地被诊断为边缘型麻风病。麻风病。使用利福平、达帕松和氯法齐明等多种药物治疗麻风病。患者临床康复情况良好。在麻风病流行的地区，临床医生应注意麻风病的类似非典型表现，以应对根除这种慢性畸形疾病的全球性挑战。

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Borderline lepromatous leprosy: A case report

Lepromatous leprosy can have many atypical presentations, obscuring early diagnosis. We present a case of lepromatous leprosy, presenting with atypical features, which made a diagnostic dilemma. A 48-year-old man presented with bilateral lower limb oedema and scaly “ichthyosis like” skin rash in both hands and feet, hepatosplenomegaly and pancytopenia, over a course of three months, without any classical features of leprosy. A skin biopsy revealed an unexpected diagnosis of borderline lepromatous leprosy. Lepromatous leprosy. Multi-drug regimen treatment with rifampicin, dapsone and clofazimine for lepromatous leprosy. The patient made a good clinical recovery. In endemic settings, clinicians should be aware of similar atypical manifestations of leprosy to face the global challenge of eradicating this chronic deforming disease.

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来源期刊

Asian Pacific journal of tropical medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-TROPICAL MEDICINE

CiteScore

4.00

自引率

9.70%

发文量

1936

审稿时长

3-8 weeks

期刊介绍： Asian Pacific Journal of Tropical Medicine (ISSN 1995-7645 CODEN: APJTB6), a publication of Editorial office of Hainan Medical University,is a peer-reviewed print + online Monthly journal. The journal''s full text is available online at http://www.apjtm.org/. The journal allows free access (Open Access) to its contents and permits authors to self-archive final accepted version of the articles on any OAI-compliant institutional / subject-based repository. APJTM aims to provide an academic communicating platform for international physicians, medical scientists, allied health scientists and public health workers, especially those of the Asia-Pacific region and worldwide on tropical medicine, infectious diseases and public health, and to meet the growing challenges of understanding, preventing and controlling the dramatic global emergence and re-emergence of infectious diseases in the Asia-Pacific. The journal is proud to have an international and diverse editorial board that will assist and facilitate the publication of articles that reflect a global view on tropical medicine, infectious diseases and public health, as well as emphasizing our focus on supporting the needs of public health practitioners. The APJTM will allow us to seek opportunities to work with others who share our aim, and to enhance our work through partnership, and to uphold the standards of our profession and contribute to its advancement.