RESUMO
Leprosy, a rare chronic granulomatous communicable disease caused by Mycobacterium leprae, is classically known to have cutaneous and neurologic sequelae. As a result of immigration, the disease, endemic in Brazil, India, Nepal, Madagascar, Myanmar, and Indonesia, has been recognized to be present in North America and the Caribbean. We describe a case of a woman presenting with a long history of a recurrent rash and leg numbness, initially diagnosed with systemic lupus, who was later proven to have lepromatous leprosy. It is a reminder that this underappreciated disease should still be considered in the differential diagnosis of skin rash and neuropathy, even in nonendemic regions.
Assuntos
Hipestesia/microbiologia , Hanseníase Virchowiana/diagnóstico , Alopecia/microbiologia , Dor no Peito/microbiologia , Diagnóstico Diferencial , Emigração e Imigração , Feminino , Guiana/etnologia , Humanos , Pessoa de Meia-Idade , Úlceras Orais/microbiologia , Doenças Reumáticas/diagnósticoRESUMO
A previously healthy 17-year-old lad presented with purulent sinusitis and subsequently developed subdural empyema in association with Pott's puffy tumour. Complete resolution occurred with an intensive antibiotic regime and drainage of the subgaleal space (AU)