Sena Caio O, Goulart Isabela Maria B, Justino Sena Pâmella C, Justino Omar Juliana C, Dornelas Bruno C
Department of Pathology, University of Uberlândia Clinical Hospital/Empresa Brasileira de Serviços Hospitalares (EBSERH), Uberlândia, BRA.
National Reference Center for Sanitary Dermatology and Leprosy, University of Uberlândia Clinical Hospital/Empresa Brasileira de Serviços Hospitalares (EBSERH), Uberlândia, BRA.
Cureus. 2025 Mar 19;17(3):e80822. doi: 10.7759/cureus.80822. eCollection 2025 Mar.
Thromboangiitis obliterans (TAO), also known as Buerger's disease, is a vasculitis associated with a history of smoking, presenting as limb ischemia. Conversely, leprosy is a chronic infectious disease caused by (). While leprosy typically presents with neurological signs, this report describes a rare case of atypical borderline lepromatous (BL) leprosy in a type 1 reaction with an initial presentation mimicking TAO in an elderly woman. This atypical presentation, combined with skin changes related to aging, masked the diagnosis of BL leprosy.
血栓闭塞性脉管炎（TAO），也称为伯格氏病，是一种与吸烟史相关的血管炎，表现为肢体缺血。相反，麻风病是一种由（）引起的慢性传染病。虽然麻风病通常表现为神经症状，但本报告描述了一例罕见的非典型边缘型瘤型（BL）麻风病1型反应病例，最初表现为一名老年女性类似TAO的症状。这种非典型表现，加上与衰老相关的皮肤变化，掩盖了BL麻风病的诊断。
