Ghorpade A
Department of Dermatology, Venereology & Leprosy, JLN Hospital & Research Centre, Bhilai, Chhattisgarh State, India.
J Eur Acad Dermatol Venereol. 2002 Sep;16(5):494-9. doi: 10.1046/j.1468-3083.2002.00548.x.
Thirty-one female patients with leprosy lesions starting over tattoo marks observed over a period of 16 years are reported. All the patients belonged to the Chhattisgarh State, which is highly endemic for leprosy. Most of the patients were in the third decade of life. All of them had ornamental tattooing done by roadside tattoo artists, who used unsterile needles for tattooing a large gathering one after another with the same needles. In all of them, the first lesion of leprosy started over a tattoo mark. Twenty-five cases had only single lesion of leprosy exclusively confined to tattoo marks. The duration between tattooing and appearance of first lesion in most of the cases varied from 10 to 20 years. Paucibacillary leprosy was the commonest type observed in 29 cases, while two had multibacillary leprosy. The diagnosis was confirmed by histopathology in all cases. The present report supports the hypothesis of transmission of leprosy in these cases through tattooing. To the best of our knowledge, such a large collection of leprosy cases subsequent to tattooing has not been reported so far.
报告了31例女性麻风患者，其皮损起始于纹身部位，观察期为16年。所有患者均来自麻风病高度流行的恰蒂斯加尔邦。大多数患者处于人生的第三个十年。她们所有人的纹身都是由路边纹身师完成的，这些纹身师使用未消毒的针头，在一大群人身上一个接一个地用同一根针纹身。在所有患者中，麻风的首个皮损均起始于纹身部位。25例患者仅有单个麻风皮损，且仅局限于纹身部位。在大多数病例中，纹身与首个皮损出现之间的时间间隔为10至20年。29例患者中最常见的麻风类型为少菌型麻风，而2例为多菌型麻风。所有病例均经组织病理学确诊。本报告支持这些病例中麻风通过纹身传播的假说。据我们所知，迄今为止尚未有如此大量纹身后继发麻风病例的报道。
