Burrish G, Hartmann A, Lockwood W
Department of Dermatology, Central Plains Clinic, Sioux Falls, SD, USA.
S D J Med. 1996 Jun;49(6):185-7.
Worldwide Hansen's disease is an important and relatively common disease, but is still very rare in South Dakota. Two patients are described to help demonstrate the wide variety of clinical manifestations associated with Hansen's disease. Since the clinical appearance of Hansen's disease is highly variable, the following six forms of Hansen's disease are described: Indeterminate, tuberculoid (TT), borderline tuberculoid (BT), borderline (BB), borderline lepromatous (BL), and lepromatous leprosy (LL). In addition, three well-recognized reactional forms of leprosy are also described: Type 1 (lepra reaction), type 2 (erythema nodosum leprosum), and type 3 (Lucio's phenomenon). While the disease affects primarily the skin and nerves, health care providers of all disciplines should remain alert for this disease which can present with a high degree of clinical variability.
在全球范围内，麻风病是一种重要且相对常见的疾病，但在南达科他州仍然非常罕见。本文描述了两名患者，以帮助展示与麻风病相关的各种各样的临床表现。由于麻风病的临床表现高度可变，因此描述了以下六种麻风病类型：未定类、结核样型（TT）、界线结核样型（BT）、界线类（BB）、界线偏瘤型（BL）和瘤型麻风（LL）。此外，还描述了三种广为人知的麻风反应类型：1型（麻风反应）、2型（结节性红斑麻风）和3型（卢西奥现象）。虽然该疾病主要影响皮肤和神经，但所有学科的医疗保健提供者都应警惕这种临床表现高度可变的疾病。
