Yang Shi Yao Sam, Leong Wai Mun Sean, Kasunuran Cruz Maria Teresa, Huang Jing Xiang, Ho Sue-Ann Ju Ee, Aw Chen Wee Derrick, Merchant Reshma A
Division of Dermatology, National University Health Systems, Singapore, Singapore.
Division of General Medicine, National University Health Systems, Singapore, Singapore.
Case Rep Dermatol. 2018 Feb 14;10(1):35-40. doi: 10.1159/000462959. eCollection 2018 Jan-Apr.
Leprosy is also known as Hansen disease, as in some countries the diagnosis of leprosy carries a negative stigma and patients fear being shunned as outcasts. Presently, leprosy is primarily limited to specific geographical regions in resource-poor countries. As a result, there is increased difficulty for the younger generation of physicians today to correctly identify leprosy due to a lack of exposure and a low-index of suspicion, particularly in developed countries. In this case, the indurated lesions over the face demonstrated a preference for the outer lateral aspects over the maxillary areas, the nose bridge, and the pinna of the ears consistent with the organism's preference for cooler regions of the body. This was also evident in the other skin lesions affecting the more acral regions of the limbs in the early stage of disease progression. There is a need to keep this infective condition as an alternate diagnosis to all unusual cutaneous lesions.
麻风病也被称为汉森氏病，因为在一些国家，麻风病的诊断带有负面污名，患者担心会像被遗弃者一样遭到回避。目前，麻风病主要局限于资源匮乏国家的特定地理区域。因此，如今年轻一代的医生由于接触较少且怀疑指数较低，尤其是在发达国家，正确识别麻风病的难度增加。在这种情况下，面部的硬结性病变表现出更倾向于上颌区域、鼻梁和耳廓外侧，这与该病原体偏好身体较凉爽区域一致。在疾病进展早期影响四肢更末端区域的其他皮肤病变中也很明显。有必要将这种感染性疾病作为所有不寻常皮肤病变的鉴别诊断。
