De Carsalade G Y, Achirafi A, Bouree P
Service de léprologie, Hôpital de Bicêtre, Kremlin-Bicêtre, France.
Med Trop (Mars). 2006 Apr;66(2):189-92.
This report describes the case of a young woman from Mayotte (Comoros Islands) who presented a combination of three cutaneous diseases, i.e. pityriasis versicolor, scabies, and multibacillary leprosy. Symptoms of leprosy were concealed by those of the other two diseases. After multidrug therapy for leprosy, the patient developed erythema nodosum leprosum that was successfully treated using pentoxifylline. Combination of cutaneous diseases can alter usual presentations and lead to misdiagnosis. It is important to take into account possible disease combination to establish proper diagnosis and prescribe effective treatment.
本报告描述了一名来自马约特岛（科摩罗群岛）的年轻女性病例，她同时患有三种皮肤病，即花斑癣、疥疮和多菌型麻风。麻风的症状被其他两种疾病的症状所掩盖。在接受麻风联合化疗后，患者出现了麻风结节性红斑，使用己酮可可碱成功治愈。皮肤病的合并可能会改变常见表现并导致误诊。考虑到可能的疾病合并情况对于确立正确诊断和开具有效治疗方案很重要。
