Presentation
The presentation of LL or borderline lepromatous leprosy (BL) as a single cutaneous lesion (or localized lesions) is a rare presentation of multibacillary disease, and such cases can be undertreated. [ncbi.nlm.nih.gov]
Immune System
- Splenomegaly
epistaxis; ulcers of uvula and tonsils, loss of teeth (oropharyngeal infiltration); septal perforation, nasal collapse (destruction of cartilaginous septum), hoarseness, stridor, asphyxia (laryngeal infiltration) Other organs/systems Hepatomegaly, splenomegaly [atsu.edu]
Workup
We stress the importance of detailed workup to look for associated systemic involvement for timely intervention and favourable outcome. [ncbi.nlm.nih.gov]
Treatment
The treatment period for standard multibacillary leprosy is 12 months, but anergic polar forms, as occurred in this patient, usually require 24 months of treatment before cure. [nejm.org]
Thalidomide is the treatment of choice for severe or recurrent erythema nodosum leprosum. [ncbi.nlm.nih.gov]
In one case any noticeable changes were seen during the course of the treatment. [jstage.jst.go.jp]
Therefore, except for the first few months of treatment, outpatient management is adequate for the vast majority of patients. [atsu.edu]
Prognosis
Diagnosis, Prognosis and Treatment Microbiology for Surgical Infections: prognosis, analysis and therapy explores present developments in etiology and antibiotic resistance of pathogens answerable for devastating and complicated surgical infections. [theme.pemavis.de]
In both classifications, the type of leprosy dictates Long-term prognosis Likely complications Duration of antibiotic treatment Symptoms and Signs Symptoms of leprosy usually do not begin until > 1 yr after infection (average 5 to 7 yr). [merckmanuals.com]
Prolonged sequential targeted antimicrobial therapy can improve prognosis although continuous follow up is mandatory. [pubs.sciepub.com]
Etiology
The etiologic bacillus was determined to be Mycobacterium lepromatosis instead of Mycobacterium leprae. This case likely represents the first report of this leprosy form and its agent in the southeastern tip of Mexico. [ncbi.nlm.nih.gov]
Amyloidosis is usually classified as follows: (1) primary, systemic or focal, of unknown etiology; (2) secondary, the end result of some other chronic disease, most notably tuberculosis, but also syphilis, rheumatoid arthritis, osteomyelitis, bronchiectasis [annals.org]
Diagnosis, Prognosis and Treatment Microbiology for Surgical Infections: prognosis, analysis and therapy explores present developments in etiology and antibiotic resistance of pathogens answerable for devastating and complicated surgical infections. [theme.pemavis.de]
MM 323-324; ID 1008-1017 LEPROSY NAME OF DISEASE : Leprosy Hansen's Disease ETIOLOGICAL AGENT : Mycobacterium leprae, an acid fast, Gram +, rod-shaped obligate intracellular organism. Grown in armadillos. It cannot be grown in agar medium. [atsu.edu]
There was some quarreling between Neisser and Hansen, Hansen as discoverer of the bacillus and Neisser as identifier of it as the etiological agent, Neisser put in some effort to downplay the assistance of Hansen. [wikivisually.com]
Epidemiology
To report on an LL patient presenting with two lesions on the face and to discuss its epidemiologic significance in the current context of leprosy elimination. [ncbi.nlm.nih.gov]
[…] at the dawn of the year 2000 (editorial) Flageul-B Acta-Leprol. 1999; 11(4): 129-30 Armadillo exposure and Hansen's disease: an epidemiologic survey in southern Texas. [malattierare.regione.veneto.it]
American Journal of Epidemiology 164(8): 794–804. Browne SG (1965) The age of onset of leprosy. Indian Journal of Leprosy 33: 267–272. [els.net]
Pathophysiology
The presentation of BL as a solitary plaque remains rare and reinforces the fact that certain aspects of the host cell-mediated response and pathophysiology of this disease are still not fully understood. [medicaljournals.se]
The pathophysiology of this complication is not fully delineated, but it may represent a variant of ENL. Amyloidosis. Deposition of amyloid in various tissues. [atsu.edu]
Despite numerous publications and reviews of the neuropathology and immunology of leprosy, 3-6 including the changes which occur in nerves during the course of adverse immunological reactions due to either cell mediated or humoral mechanisms, the exact pathophysiology [jnnp.bmj.com]
Further Reading Bhat RM and Prakash C (2012) Leprosy: an overview of pathophysiology. Interdisciplinary Perspectives on Infectious Diseases 2012: 181089. Britton WJ and Lockwood DN (2004) Leprosy. Lancet 363(9416): 1209–1. [els.net]
Therefore, different states reactional to LR1 as ENL or Lucio phenomenon could be generated as a result of IRIS expression in patients with HIV co-infection leprosy, shortly after starting HAART. 12,13 The pathophysiological mechanisms responsible for [elsevier.es]
Prevention
Early treatment prevents further tissue damage, stops the spread of the disease, and prevents serious health complications. [healthline.com]
These injuries should be prevented and treated promptly to avoid serious problems like secondary infections, sepsis, carcinomatous degeneration and amputations. [ncbi.nlm.nih.gov]
Chances are, the mention of leprosy brings to mind skin falling from the bone and people cast away into quarantined colonies to prevent outbreaks. [livescience.com]
How can leprosy be prevented? The best way to prevent the spread of leprosy is the early diagnosis and treatment of people who are infected. [health.ny.gov]
If the injuries can be prevented, much of the disability will not occur. The most important thing that can be done to prevent permanent disability is to diagnose and treat patients at the very earliest stages of the disease. [rarediseases.org]