Strobel M, Ndiaye B, Marchand J P, Stach J L, Foumoux F
Acta Leprol. 1981 Apr-Jun(83):11-9.
Two cases of reactional leprosy leading to wrong diagnosis are reported. The first one concerns a reversal reaction predominantly neuritic, initially taken for polyarthritis. The second one concerns an erythema nodosum leprosum with extensive cutaneous necrosis (Lucio's phenomenon or ulcerative lazarine leprosy). Main aspects and mechanisms of leprosy reactional states are reviewed. It is emphasized that errors or delays in diagnosis are often caused by failing to recognize cutaneous or neuritic symptoms.
报告了两例导致误诊的麻风反应病例。第一例主要是神经炎型逆转反应，最初被误诊为多关节炎。第二例是伴有广泛皮肤坏死的结节性红斑麻风（卢西奥现象或溃疡性类麻风）。本文回顾了麻风反应状态的主要方面和机制。强调诊断错误或延误往往是由于未能识别皮肤或神经症状所致。
