Pavithran K
Dept. of Skin & V.D., Medical College Hospital, Kottayam.
Indian J Lepr. 1990 Apr-Jun;62(2):202-7.
Three patients who presented with eczemas as manifestation of leprosy are described. One of them having lepromatous leprosy had extensive areas of acquired ichthyosis. He developed asteatotic eczema on the legs. The pathophysiologic mechanisms for the development of ichthyosis and asteatotic eczema in this patient are briefly discussed. The second patient, with tuberculoid leprosy, presented with allergic contact eczema due to neomycin which he had applied over the plaque for scaling and crusting. The third patient, also with tuberculoid leprosy, presented with features of nummular eczema. Dryness of the skin that resulted from leprosy had led to the development of nummular eczema in this case. One peculiarity noted in all these eczemas was that they were non-pruritic.
本文描述了3例以湿疹为麻风表现形式的患者。其中1例瘤型麻风患者有大面积获得性鱼鳞病。他的腿部出现了乏脂性湿疹。本文简要讨论了该患者发生鱼鳞病和乏脂性湿疹的病理生理机制。第2例结核样型麻风患者，因在斑块上涂抹新霉素治疗脱屑和结痂而出现过敏性接触性皮炎。第3例同样是结核样型麻风患者，有钱币状湿疹的表现。在该病例中，麻风导致的皮肤干燥引发了钱币状湿疹。所有这些湿疹的一个特点是均无瘙痒症状。
