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麻风眼部灾难性并发症:病例报告。

Catastrophic ocular complications in leprosy: a case report.

机构信息

Department of Dermatology, Venereology and Leprosy, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, Maharashtra, India.

Department of Ophthalmology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, Maharashtra, India.

出版信息

Pan Afr Med J. 2023 Apr 24;44:198. doi: 10.11604/pamj.2023.44.198.37051. eCollection 2023.

Abstract

Leprosy is a chronic, granulomatous infectious disease commonly affecting the skin, nerves, mucosa and eyes. The stigma associated with the disease frequently leads to delay in presentation to health professionals. Treated patients, though considered cured presumptively, many continue to live with physical disabilities and deformities. Intact visual acuity prevents humans from trauma and any reduction in visual acuity, especially in leprosy, increases the risk of getting injured by many folds. Here, we present a case of leprosy with complete loss of vision due to bilateral anterior staphyloma secondary to keratitis and his physical deformities preventing him to take care of his eyes. This paper aims to emphasize on the importance of a baseline ophthalmology consultation in all newly diagnosed leprosy patients and repeat examination at onset of any new symptoms of the eye.

摘要

麻风病是一种慢性肉芽肿性传染病,通常影响皮肤、神经、黏膜和眼睛。与这种疾病相关的污名常常导致患者延迟向卫生专业人员就诊。尽管经过治疗的患者被认为是治愈的,但许多人仍继续患有身体残疾和畸形。完好的视力可防止人们受到创伤,而视力下降,尤其是在麻风病中,会使受伤的风险增加许多倍。在这里,我们报告了一例麻风病患者,由于双侧前部葡萄肿继发于角膜炎,导致视力完全丧失,并且他的身体畸形使他无法照顾自己的眼睛。本文旨在强调在所有新诊断的麻风病患者中进行基线眼科咨询的重要性,并在出现任何眼部新症状时进行重复检查。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01cd/10362652/faa4d0685507/PAMJ-44-198-g001.jpg

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