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Histoid Leprosy: Case Report

Ola Ahmed Bakry ; Menoufiya Faculty of Medicine
Abdalla Mohamed Attia ; Menoufiya Faculty of Medicine


Puni tekst: engleski PDF 257 Kb

preuzimanja: 1.767

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Sažetak

Histoid leprosy is rare but a well-defined entity with specific clinical, histopathological, and bacteriological features. We present a case of histoid leprosy in a 84 years old Egyptian male in view of rarity of this condition. The patient presented with erythematous itchy discrete and coalescent papules that were distributed bilaterally and symmetrically on the front and back of the trunk. Before approaching us, he was initially misdiagnosed as a case of pityriasis rosea. There was no mucosal or facial affection and  patient's general examination was normal.

Routine hematological investigations, urine analysis, liver and renal function tests were all normal. Slit skin smear revealed acid-fast bacilli of BI - 6+ and MI - 50-60%.

Histopathological examination of hematoxylin and eosin stained section revealed atrophic epidermis with flattened rete ridges, dermal infiltration by nodular granulomata formed of spindle shaped histiocytes with pyknotic nuclei oriented in a storiform pattern. Fits stain for lepra bacilli shows plenty of acid fast bacilli. So the diagnosis of histoid leprosy was made.  Therefore, ROM therapy (Rifampicin 600 mg, Ofloxacin 400 mg, Minocyclin 200 mg) was started and followed by multi-drug therapy (MDT) for 2 years.

Ključne riječi

Hrčak ID:

95699

URI

https://hrcak.srce.hr/95699

Datum izdavanja:

11.1.2013.

Posjeta: 2.207 *