Neural relapse in multibacillary leprosy 6 years after end of treatment

Anais Brasileiros de Dermatologia

Leandra Oliveira Teixeira²  Carlos Maximiliano Gaspar Carvalho Heil Silva²  Hélcio Takeshi Akamatsu²  Jaison Antônio Barreto¹  Cleverson Teixeira Soares¹ 

[1] ,Instituto Lauro de Souza LimaBauru SP ,Brazil

关键词: Biopsy;    Combined modality therapy;    Leprosy;    borderline;    Recurrence;    Serology;    Ulnar nerve;    Biópsia;    Hanseníase dimorfa;    Nervo ulnar;    Recidiva;    Sorologia;    Terapia combinada;   

DOI  :  10.1590/S0365-05962012000200019

来源: SciELO

【 摘 要 】

This article presents a case of relapse, with isolated neural manifestation, in a multibacillary patient previously treated with multidrug therapy for multibacillary leprosy (24 doses). The patient returned to the service six years after the end of treatment, with pain in hands and legs. He was investigated, and the serological monitoring showed an important increase in anti-phenolic glycolipid serum levels. A neural recurrence was suspected, since the patient had no new skin lesions. A new biopsy in the right ulnar nerve showed a bacilloscopy of 2 +, compatible with relapse. This is a literature review of the etiological, clinical, propedeutical and diagnostic aspects of this situation so poorly understood.

【 授权许可】

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