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界线类偏结核样型麻风的口腔损害

Oral lesions in borderline and reactional tuberculoid leprosy.

作者信息

Alfieri N, Fleury R N, Opromolla D V, Ura S, de Campos I

出版信息

Oral Surg Oral Med Oral Pathol. 1983 Jan;55(1):52-7. doi: 10.1016/0030-4220(83)90305-5.

DOI:10.1016/0030-4220(83)90305-5
PMID:6338440
Abstract

Thirty patients, fifteen with borderline and fifteen with reactional tuberculoid leprosy, were submitted to clinical and histopathologic studies of the buccal mucosa for detection of specific lesions. Five reactional tuberculoid and eight borderline patients presented specific conditions characterized by chronic granulomatous lesions with bacilli, chronic granulomatous lesions without bacilli, and nonspecific chronic inflammatory lesions with bacilli. The infiltrate had small extension, low bacterial levels and the mucosa, with the exception of one case, did not show ulceration. These results suggest that in the reactional tuberculoid and borderline patients the buccal mucosa is not an important source of bacilli elimination.

摘要

30名患者,其中15名患有界线类麻风,15名患有反应性结核样型麻风,接受了颊黏膜的临床和组织病理学研究,以检测特异性病变。5名反应性结核样型患者和8名界线类患者出现了特异性情况,其特征为伴有杆菌的慢性肉芽肿性病变、不伴有杆菌的慢性肉芽肿性病变以及伴有杆菌的非特异性慢性炎症性病变。浸润范围小,细菌数量少,除1例病例外,黏膜未出现溃疡。这些结果表明,在反应性结核样型和界线类患者中,颊黏膜不是杆菌清除的重要来源。

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