Hansen's Disease: A Great Mimicker
Journal Title: People's Journal of Scientific Research. - Year 2017, Vol 10, Issue 2
Abstract
Leprosy is a dermato-neurological chronic infection caused by Mycobacterium leprae, an acid fast intracellular bacilli, not cultivated in vitro. Leprosy predominantly affects the skin and peripheral nerves. The different manifestations of leprosy are known since time immemorial. But even today when we are trying hard to eradicate leprosy, newer forms of presentation continue to crop in the form of laryngeal dyspnoea, bullae with hematoma, xanthoma like presentation etc. Granuloma annulare (GA) is typically a benign, self-limited cutaneous disorder classically presenting as annular groups of skin-colored to erythematous papules and plaques without epidermal change localized to the dorsal hands and or feet. A 50-years-old hypertensive, diabetic female patient presented with suddenly appearing multiple asymptomatic red raised lesions limited to bilateral upper limbs since 2 months. On examination multiple papules and plaques of size varying from 2cm-5cm in diameter were present. The individual lesions were round shaped, flat topped, non-scaly, indurated plaques with central clearing and hyperpigmentation. There was no loss of sensation (touch, pain), thickened nerves or muscle weakness. No signs of any atrophy and hair loss over plaques. A biopsy was taken for the confirmation of diagnosis and it was suggestive of borderline lepromatous leprosy. Skin and nerves affected by leprosy is quite common. However, it is a great mimic of many conditions. In areas endemic for leprosy it is imperative to keep in mind the diverse presentations of leprosy. Leprosy should be actively ruled out in all suspected cases so as to prevent misdiagnosis
Authors and Affiliations
Richa Rupla, Vivek Kumar Dey, Raghav Gupta
Keywords
Related Articles
- EP ID EP434728
- DOI -
- Views 82
- Downloads 0
Dedifferentiated Chondrosarcoma of Humerus- A case report
Dedifferentiated chondrosarcoma is a rare and most malignant form of chondrosarcoma, accounting for approximately 11 % of all chondrosarcomas. It generally occurs in older patients having slight male predilection. Howeve...
Bicipital Ribs- A Report of Four Cases
The Thoracic outlet is bounded by the first thoracic vertebra posteriorly superior border of manubrium sternum anteriorly, and the first rib and costal cartilage laterally. Thoracic outlet syndrome is a common term for...
Clinical Profile of Patients with Status Epilepticus from Rural Area
Status epilepticus (SE) is a neurological emergency associated with significant morbidity and mortality, if not treated effectively in time. An attempt was made to generate the baseline data regarding the etiologies and...
Evaluation of Effectiveness of Acellular Dermal Matrix Allograft and Subepithelial Connective Tissue Graft in Combination with Coronally Positioned Flap in Treatment of Mutiple Gingival Recession in Aesthetic Areas : A Case Series
Obtaining predictable and aesthetic root coverage has become an important part of periodontal therapy. Several techniques have been developed to achieve these goals with variable out comes. The aim of this case serie...
Microbiological Evaluation of Catheter Associated Urinary Tract Infection in a Tertiary Care Hospital
Urinary tract infections are the most common type of healthcare-associated infection, accounting for more than 30% of infections reported by acute care hospitals. Virtually all healthcare-associated UTIs are caused by in...