Godeau P, Wechsler B, Weisselberg C
Sem Hop. 1979;55(19-20):958-64.
A case is reported of autochthonous leprosy in a French patient who had never lived in an endemic zone. The disease was of the lepromatous leprosy type and the liver, spleen, skin nerves and muscles were affected. Characteristic findings were Hansen's bacillus in nasal scrapings, a deficiency in cellular immunity, and the presence of cryoglobulins and circulating immune complexes. Autochthonous leprosy which has not been imported, and without signs of direct contagion, appears to be exceptionally rare. The authors review the clinical forms of leprosy and immunological findings.
报告了一例法国患者的本地麻风病病例，该患者从未在麻风病流行地区居住过。该疾病为瘤型麻风，肝脏、脾脏、皮肤神经和肌肉均受到影响。特征性表现为鼻刮片中发现汉森氏杆菌、细胞免疫缺陷以及存在冷球蛋白和循环免疫复合物。未输入且无直接传染迹象的本地麻风病似乎极为罕见。作者回顾了麻风病的临床类型和免疫学发现。
