麻风误诊2例

患者1,男,27岁。头发、眉毛脱落,面部皮肤脱屑4年伴麻木2年,曾被误诊为"面部接触性皮炎、脂溢性皮炎、湿疹、斑秃、甲减"等,组织病理学诊断为瘤型麻风。患者2,男,65岁。全身散在皮疹3年,加重1个月,曾被误诊为"皮炎、体癣、玫瑰糠疹''等,组织病理学诊断为界线类偏结核样型麻风伴Ⅰ型麻风反应。

A Clinco-Bacteriological Study of Leprosy in Paediatric Age Group

Clinico-bacteriological study was done in 51 leprosy patients below 14 years of age. Majority of the patients were males in the age group of 11-14 years. Nearly 84% had not received any prior treatment because of lack of awareness and financial constraints. Only 11.76% had a positive contact history. Skin lesions were present in all cases and 84.3% had lesions mainly on the exposed areas of the body and their number was found to increase significantly with advancing age (p < 0.005). These lesions were hypo-pigmented patches in 88% cases. 88% of cases had hypo-anesthesia and nerve thickening was observed in 24% cases. The most common type of skin lesion was borderline tuberculoid (BT) in 53% cases. Positivity of the skin smears increased significantly as the number of the skin lesions per patient increased (p 0.001). Multibacillary cases were seen in 15.6% of cases and found only in the age group of 10-14 years of age. No statistically significant association between BCG vaccination and prevention of leprosy was seen.

界线类偏结核样型麻风误诊为离心性环状红斑1例

患者男,69岁。全身多发性红斑7年。组织液检测抗酸杆菌(AFB)(-),误诊为离心性环状红斑(EAC),治疗无效。8个月前患者出现垂足等周围神经系统症状,再次查组织液AFB(+),组织病理学显示上皮样肉芽肿及有淋巴细胞浸润。诊断:界线类偏结核样型麻风(BT)。予以MDT-MB方案治疗,现在随访中。

伴麻风反应的结核样型麻风1例

患者男,51岁,左臂麻木性红斑4年,泛发躯干四肢4个月。外院疑似麻风但多次多部位查菌阴性,结合病史及详细体检最终确诊为结核样型麻风伴I型麻风反应。给予MDT联合化疗,泼尼松等治疗后病情控制稳定。