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저자 권오승1, 김형록1, 박준수1, 정현1, 권현희2, 박경덕3 소속 대구가톨릭대학교 의과대학 피부과학교실1, 감염내과학 교실2, 충남대학교 의과대학 피부과학교실3
년도 2017 50
1 번호 4
시작페이지 43 끝페이지 47
첨부 이주민 노동자.pdf
요약 A Case of Type 2 Leprosy Reaction in Borderline Lepromatous Leprosy Masquerading as Orbital Cellulitis in an Immigrant Worker

O-sung Kwon1, Hyung-Rok Kim1, Joon-soo Park1, Hyun Chung1, Hyun-Hee Kwon2, Kyung-Duck Park3

Department of Dermatology 1 , Department of Internal Medicine 2 CatholicUniversityofDaegu, SchoolofMedicine, Daegu, Korea Department of Dermatology 3 ,
Chungnam National University School of Medicine, Daejeon, Korea

Hansen’s disease(HD) is a chronic infectious disorder acquired by inoculation of Mycobacterium leprae . With the establishment of complex multidrug therapy, the incidence rate of leprosy patients has continually shown to decline by 90% compared to the incidence rate in the 1990s. However, the prevalence of the disease still remains high in southeast asian countries. Due to the rarity and diverse nature of cutaneous presentation, HD is often misdiagnosed with other dermatoses or infectious conditions. Especially, when a patient presents with unusual presentation with leprosy reaction with no classical feature such as sensory disorders and skin lesion, the diagnosis is further delayed with misguided treatments. Herein we present a 27-year-old Indonesian immigrant who displayed clinical features mimicking that of orbital cellulitis who was later diagnosed with borderline lepromatous leprosy through histologic and PCR confirmation, in light of alerting the probability of leprosy in immigrants with intractable skin presentations.

※ Key Words : Borderline leprosy, Immigrants, Leprosy reaction