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 96
- Downloads 0
Cloacal Exstrophy: a rare and complex anomaly
Cloacal exstrophy is a very rare and complicated birth defect. It occurs once in every 200,000 births. It is a complex anomaly of the urogenital tract and intestinal tract resulting in exstrophy of both bowel and bladder...
Post-Obstructive Pulmonary Edema Following Accidental Strangulation: POPE – A Rare Medical Emergency
Post obstructive pulmonary edema (POPE), a rare form of non-cardiogenic pulmonary edema, is a lesser known medical emergency which occurs due to acute upper airway obstruction (Type I) or following surgical relief of chr...
Reproducibility of Immuno-Dot Blot Assay for Diagnosis of Tuberculosis using M. tuberculosis Hsp 65 KDa Protein
Studies had been attempted to define the mycobacterial antigens by standard biochemical and immunological techniques. One particular antigen, a 65-kilodalton (KDa) protein, is present in a wide range of mycobacterial sp...
Maxillary First Molar with Three Canals in Mesiobuccal Root – A Case Report
Knowledge of internal dental morphology is a complex and extremely important for planning and performing endodontic therapy. Proper location of additional canals in roots, especially of maxillary first molar, is very fun...
Liquid-Supported Denture & Neutral Zone for Atrophic Residual Ridges : A Case Report
Liquid supported denture can be a permanent solution in edentulous patients with diabetes, xerostomia and atrophied ridge. A liquid-supported denture was planned for maxillary arch and neutral zone concept for fabricatio...