Silva C de M, Silva A C, Marques S C, Saldanha A C, Nascimento J D, Branco M R, Silva R R, Costa J M
Departamento de Patologia da Universidade Federal do Maranhão, São Luís, MA, Brasil.
Rev Soc Bras Med Trop. 1994 Oct-Dec;27(4):241-4. doi: 10.1590/s0037-86821994000400007.
Thirty cases of chromoblastomycosis were diagnosed at Hospital dos Servidores do Estado do Maranhão, from November, 1988 to March, 1993. The authors report 2 (6.6%) cases, that presented an association with leprosy. The first patient developed both diseases together, showing palpable bilateral cubital nerves, perforanting ulcer of the right foot, infiltration and lesions in verrucoid plaques in left leg, with positive biopsy for dimorphic leprosy. The second case, a patient with history of lepromatous leprosy for 30 years without treatment, with vegetant lesions with a warty aspect in right elbow for 12 months, histopathologic and positive culture for chromoblastomycosis. The possible factors for development of this disease in these patients are discussed.
1988年11月至1993年3月期间,马拉尼昂州公务员医院诊断出30例着色芽生菌病。作者报告了2例(6.6%)与麻风病相关的病例。第一例患者同时患上了这两种疾病,双侧肘神经可触及,右脚有穿通性溃疡,左腿有疣状斑块浸润及病变,麻风病活检呈阳性。第二例患者有30年未经治疗的瘤型麻风病史,右肘出现有疣状外观的增殖性病变12个月,组织病理学检查及着色芽生菌病培养呈阳性。本文讨论了这些患者发生该病的可能因素。