Bezerra Natália Tenório Cavalcante, Schettini Antonio Pedro Mendes, Leturiondo André Luiz, Mathias Liana Hortencia Miranda Tubilla
Fundação Alfredo da Matta, Manaus, AM, Brazil.
Fundação Alfredo da Matta, Manaus, AM, Brazil.
An Bras Dermatol. 2021 Jan-Feb;96(1):97-99. doi: 10.1016/j.abd.2020.03.022. Epub 2020 Nov 20.
Leprosy is a chronic infectious disease caused by Mycobacterium leprae and, depending on the host immune status, presents different clinical forms. This report describes the case of a 46-year-old man who had hypoesthetic lesions in the infrahyoid region for 30 days. The bacilloscopy was negative. The anatomopathological examination showed alterations corresponding to the tuberculoid pole (epithelioid histiocytes) and virchowian pole (foamy histiocytes), compatible with borderline-virchowian leprosy (Ridley and Jopling classification). Rapid tests for HIV I, II, and syphilis were positive, with a CD4 count of 223. The patient started treatment with multibacillary multidrug therapy, antiretroviral therapy, and benzathine penicillin, with marked clinical improvement in two months.
麻风病是一种由麻风分枝杆菌引起的慢性传染病，根据宿主免疫状态的不同，会呈现出不同的临床形式。本报告描述了一名46岁男性的病例，该患者在舌骨下区域出现感觉减退性病变30天。细菌涂片检查为阴性。解剖病理学检查显示病变对应于结核样型（上皮样组织细胞）和维丘型（泡沫状组织细胞），符合界线类偏维丘型麻风（里德利和乔普林分类法）。HIV I、II和梅毒快速检测均为阳性，CD4细胞计数为223。患者开始接受多菌型联合化疗、抗逆转录病毒治疗和苄星青霉素治疗，两个月后临床症状明显改善。
