@article{93410,
  title = {Lepra bordeline lepromatosa que simula urticaria. Presentación de un caso},
  abstract = {Leprosy is considered one of the oldest diseases suffered by humanity. It has been said not without reason that leprosy is a condition of the patient’s body and the mind and thoughts of other people. This is a report of a 44-year old white, male patient who attended the clinic with non-pruritic skin lesions in the form of hives of several months of evolution that in his health area has been treated and studied as a chronic urticaria. Despite ongoing treatment during the last two weeks, the lesions continued exacerbated. The patient refers no fever, fatigue or other symptoms. The dermatological examination revealed disseminated cutaneous symptoms, characterized by infiltrated urticariform plaques between 1 and 5 cm in size and located on the trunk, interscapular region and proximal portions of the limbs, with areas of intra and perilesional hypoaesthesia, palpated thickened symmetrically and bilaterally but not painful ulnar nerves. Of particular importance is the knowledge needed by the doctor concerning this disease because the different responses of the host pose a challenging diagnostic
problem. There are also diagnostic difficulties due to its clinical spectrum and low prevalence. Medical personnel poorly trained in leprosy can make wrong diagnostic decisions. },
  year = {2019},
  journal = {Revista de leprología},
  volume = {32},
  pages = {169-174},
  language = {spa},
}