病例报告：1 型麻风反应伴发的上胸段食管瘫痪。
Case Report: Upper Thoracic Esophageal Paralysis Accompanying a Type 1 Leprosy Reaction.
机构信息
Department of Leprosy, Shanghai Skin Disease Hospital, Tongji University School of Medicine, Shanghai, People's Republic of China.
Department of Infectious Disease, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, People's Republic of China.
出版信息
Am J Trop Med Hyg. 2023 Jun 5;109(2):343-344. doi: 10.4269/ajtmh.22-0799. Print 2023 Aug 2.
Type 1 leprosy reactions (T1LRs) occur mainly in patients with borderline leprosy and an unstable immune status. The main symptoms of T1LRs include aggravated skin lesions and nerve damage. Nerve damage involving the glossopharyngeal and vagus nerves causes dysfunction of the nose, pharynx, larynx, and even the esophagus, which are innervated by these nerves. Here, we report a case of upper thoracic esophageal paralysis caused by vagus nerve involvement in a patient with T1LRs. Although infrequent, this serious emergency merits attention.
1 型麻风反应（T1LRs）主要发生在边界型麻风病和免疫状态不稳定的患者中。T1LRs 的主要症状包括皮肤损伤加重和神经损伤。累及舌咽神经和迷走神经的神经损伤导致这些神经支配的鼻子、咽部、喉部甚至食管的功能障碍。在这里，我们报告了一例 T1LRs 患者因迷走神经受累导致的上胸段食管瘫痪。尽管这种情况并不常见，但这种严重的急症值得关注。
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