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类闭塞性血栓性脉管炎(伯格氏病)的麻风病:病例研究

Leprosy Mimicking Thrombangiitis Obliterans (Buerger's Disease): A Case Study.

作者信息

Sena Caio O, Goulart Isabela Maria B, Justino Sena Pâmella C, Justino Omar Juliana C, Dornelas Bruno C

机构信息

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.

出版信息

Cureus. 2025 Mar 19;17(3):e80822. doi: 10.7759/cureus.80822. eCollection 2025 Mar.

Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b7c/12007437/17f786be8011/cureus-0017-00000080822-i01.jpg

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