Parajuli Niraj, Shrestha Shraddha, Lama Laila, Shrestha Rushma, Tiwari Sumida, Karki Anupama
Department of Dermatology & Venereology, National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal.
Department of Pathology, National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal.
Case Rep Dermatol Med. 2020 Jul 29;2020:8847310. doi: 10.1155/2020/8847310. eCollection 2020.
Anetoderma presents as a circumscribed area of slack skin. It can present as either primary or secondary, if associated with other conditions. Leprosy is one of the causes of secondary anetoderma, but it is not commonly reported, especially in multibacillary leprosy. Here, we report a case of a 16-year-old young girl who presented with fever, joint pain, and only three anetodermic plaques. A slit skin smear from the lesion showed multiple acid-fast bacilli with a bacillary index of 3+, thus confirming the diagnosis of leprosy. This case is unique since multibacillary leprosy presented with only few anetoderma lesions in a young teenager girl from a leprosy-eliminated country.
皮肤松弛症表现为皮肤松弛的局限性区域。如果与其他病症相关，它可以是原发性或继发性的。麻风是继发性皮肤松弛症的病因之一，但并不常见，尤其是在多菌型麻风病中。在此，我们报告一例16岁年轻女孩的病例，她出现发热、关节疼痛，仅有三处皮肤松弛斑。病变部位的皮肤涂片显示有多个抗酸杆菌，菌指数为3+，从而确诊为麻风病。该病例具有独特性，因为在一个已消除麻风病的国家，一名年轻少女的多菌型麻风病仅表现为少数皮肤松弛症病变。
