Department of Dermatovenereology, Ayder Referral Hospital Mekelle University, Mekelle, Tigray, Ethiopia.
Regional Dermatology Training Centre (RDTC), Moshi, Tanzania.
J Eur Acad Dermatol Venereol. 2019 Jul;33(7):1205-1213. doi: 10.1111/jdv.15569. Epub 2019 Apr 3.
Leprosy or Hansen's disease is a chronic infection caused by Mycobacterium leprae (M. leprae) or Mycobacterium lepromatosis (M. lepromatosis). In Europe, most of the leprosy cases are imported. However, occasionally a case is diagnosed in one of the old endemic foci. Leprosy is often not suspected because it is no longer emphasized in the medical curricula. Attention shifted from leprosy to tuberculosis and human immunodeficiency virus infections in the late 20th century, whereby the WHO leprosy programme was toned down in the conviction that leprosy was all but eliminated. The result of unawareness is a harmful doctor's delay.
This paper focusses on clinical diagnosis, complications and treatment based on literature and experience.
It mentions the value of laboratory tests in classification, follow-up and detection of relapses. It discusses the etiopathology.
This is a position statement.
麻风病或汉森病是由麻风分枝杆菌（M. leprae）或麻风分枝杆菌（M. lepromatosis）引起的慢性感染。在欧洲，大多数麻风病病例都是输入性的。然而，偶尔也会在一个旧的地方病流行区诊断出一例。由于医学课程不再强调，麻风病往往不被怀疑。20 世纪后期，人们的注意力从麻风病转移到结核病和人类免疫缺陷病毒感染上，因此世界卫生组织的麻风病规划有所减少，因为人们相信麻风病几乎已经被消灭。结果是医生延误了治疗，造成了有害的后果。
本文根据文献和经验，重点介绍了临床诊断、并发症和治疗。
它提到了实验室检查在分类、随访和复发检测中的价值。它讨论了病因病理学。
这是一份立场声明。
