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제목 |
A Case of Atypical Reactional Leprosy of BT Type |
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저자 |
Hong Joo Moon, Dae Young Cho, Seung Chul Lee, Young Ho Won, Inn Ki Chun |
소속 |
Dept. of Dermatology, Chonnam University Medical School Kwangju, Korea |
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년도 |
1996 |
권 |
29 |
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호 |
1 |
번호 |
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시작페이지 |
63 |
끝페이지 |
72 |
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첨부 |
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요약 |
The skin manifestations of leprosy have a great similarity to various other lesions.
The incidence of Leprosy is gradually decreasing nowadays in this country. So
physicians are likely to make a misdiagnosis especially in an atypical type of leprosy.
We report a rare and atypical case of borderline tuberculoid leprosy with a
downgrading reaction. A 49-year-old woman had large painful erythematous and
edematous shiny plaques with general symptoms such as fever, arthralgia, insomnia.
The lesion was clinically similar to Sweet's syndrome or reactional lymphoproliferative
disease. The first biopsy of a skin plaque revealed that patchy lymphocytic infiltration
through the dermis and subcutis. But the consectutive biopsy during antileprotic
treatment demonstrated many formy histiocytes and epithelioid cells in diffuse and
patchy cellular infiltrates. She was dependent on oral steroid and resistant to a multiple
drug therapy, and complicated with a facial nerve palsy. |
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내용 |
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