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小儿麻风神经型尺神经减压及干酪样肉芽肿引流手术

Surgery for ulnar nerve decompression and drainage of a caseous granuloma in a neural form of leprosy in children.

作者信息

Henrique Morais de Souza Fernando, Euripedes Almondes Santana Lemos Luiz, Rafael Sousa Rosado Bruno, Rafaela Borges De Oliveira Raiza, Gomes Ferreira de Araújo Mayle, Silva Rhuann Pontes Dos Santos, Sena Almeida Nivaldo, Rocha Cirne Azevedo-Filho Hildo

机构信息

Department of Neurosurgery Hospital da Restauração Recife Brazil.

Neurosurgery Resident Hospital da Restauração Recife Brazil.

出版信息

Clin Case Rep. 2023 Oct 5;11(10):e7963. doi: 10.1002/ccr3.7963. eCollection 2023 Oct.

DOI:10.1002/ccr3.7963
PMID:37808577
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10555977/
Abstract

KEY CLINICAL MESSAGE

The findings in the literature, as well as those described in this study, emphasize the need for systematic and longitudinal care for patients with neglected diseases during and after treatment, mainly in low-middle income countries.

ABSTRACT

Leprosy is a chronic, granulomatous, mycobacterial infection caused by mycobacterium leprae, affecting the skin and peripheral nervous system. We present a case of a 13-year-old child with leprosy for more than a year, indicating decompression of the ulnar nerve. During surgery, an intraneural large caseous granule was evidenced.

摘要

关键临床信息

文献中的研究结果以及本研究中所描述的结果均强调,对于被忽视疾病患者,在治疗期间及治疗后需要进行系统的长期护理,这一需求在中低收入国家尤为突出。

摘要

麻风病是一种由麻风分枝杆菌引起的慢性、肉芽肿性、分枝杆菌感染疾病,会影响皮肤和周围神经系统。我们报告了一例13岁儿童患麻风病一年多的病例,该病例显示尺神经减压。手术过程中,发现神经内有一个大的干酪样颗粒。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0b5/10555977/f65520c392df/CCR3-11-e7963-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0b5/10555977/dfcd5946d487/CCR3-11-e7963-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0b5/10555977/f65520c392df/CCR3-11-e7963-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0b5/10555977/dfcd5946d487/CCR3-11-e7963-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0b5/10555977/f65520c392df/CCR3-11-e7963-g003.jpg

相似文献

1
Surgery for ulnar nerve decompression and drainage of a caseous granuloma in a neural form of leprosy in children.小儿麻风神经型尺神经减压及干酪样肉芽肿引流手术
Clin Case Rep. 2023 Oct 5;11(10):e7963. doi: 10.1002/ccr3.7963. eCollection 2023 Oct.
2
Sonographic evaluation of leprosy of ulnar nerve.尺神经麻风的超声评估
Radiol Case Rep. 2021 Feb 24;16(5):1057-1060. doi: 10.1016/j.radcr.2021.02.003. eCollection 2021 May.
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Pure neuritic leprosy presenting as ulnar nerve neuropathy: a case report of electrodiagnostic, radiographic, and histopathological findings.表现为尺神经病变的纯神经炎型麻风:一份关于电诊断、影像学及组织病理学检查结果的病例报告
J Neurosurg. 2015 Nov;123(5):1238-43. doi: 10.3171/2014.9.JNS142210. Epub 2015 Jun 5.
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Segmental necrotizing granulomatous neuritis of leprosy.麻风节段性坏死性肉芽肿性神经炎
Int J Lepr Other Mycobact Dis. 1980 Mar;48(1):41-7.
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Demonstration of mycobacterial antigens in nerve biopsies from leprosy patients using peroxidase-antiperoxidase immunoenzyme technique.采用过氧化物酶-抗过氧化物酶免疫酶技术在麻风病人神经活检中显示分枝杆菌抗原
Clin Immunol Immunopathol. 1983 Dec;29(3):359-68. doi: 10.1016/0090-1229(83)90039-9.
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Leprosy: a 'common' and curable cause of peripheral neuropathy with skin lesions.麻风病:一种伴有皮肤病变的周围神经病变的“常见”且可治愈病因。
J R Coll Physicians Edinb. 2015 Mar;45(1):38-42. doi: 10.4997/JRCPE.2015.109.
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Leprosy with ulnar nerve abscess: ultrasound findings in a child.伴有尺神经脓肿的麻风病:一名儿童的超声检查结果
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MRI imaging of ulnar leprosy abscess.尺神经麻风脓肿的磁共振成像
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Neuritic Leprosy; An Intriguing Re-visit to a Forbidden Ailment.神经型麻风:对一种被禁忌疾病的有趣重温
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本文引用的文献

1
Late Diagnosis of Multiple Cerebral Aneurysms A Decade after Resection of Cardiac Myxoma.心脏黏液瘤切除术后十年多发性脑动脉瘤的迟发性诊断
Case Rep Neurol. 2020 Dec 14;12(Suppl 1):189-195. doi: 10.1159/000505390. eCollection 2020 Sep-Dec.
2
Leprosy with ulnar nerve abscess: ultrasound findings in a child.伴有尺神经脓肿的麻风病:一名儿童的超声检查结果
Skeletal Radiol. 2017 Jan;46(1):137-140. doi: 10.1007/s00256-016-2517-1. Epub 2016 Oct 27.
3
Leprosy among children under 15 years of age: literature review.15岁以下儿童的麻风病:文献综述
An Bras Dermatol. 2016 Apr;91(2):196-203. doi: 10.1590/abd1806-4841.20163661.
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Spatial analysis spotlighting early childhood leprosy transmission in a hyperendemic municipality of the Brazilian Amazon region.空间分析聚焦巴西亚马逊地区一个高流行度市的儿童期麻风病传播。
PLoS Negl Trop Dis. 2014 Feb 6;8(2):e2665. doi: 10.1371/journal.pntd.0002665. eCollection 2014 Feb.
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Global leprosy situation, 2012.2012年全球麻风病疫情
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Borderline lepromatous leprosy.
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Evaluation of results of surgical decompression of median nerve in leprosy in relation to sensory--motor functions.
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Nerve abscess in children and adults leprosy patients: analysis of 145 cases and review of the literature.
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