01195nas a2200265   4500000000100000008004100001260001300042653001000055653001100065653001200076653000900088653002500097653001700122653001300139653001600152653000900168100001200177700001200189700001600201245008300217300001100300490000700311520059700318022001400915       1985                            d  c1985 Jun10aAdult10aHumans10aleprosy10aMale10aMycobacterium leprae10aNasal Mucosa10aOsteitis10aRadiography10aSkin1 aMende B1 aStein G1 aKreysel H W00a[Osteitis leprosa multiplex cystica--an early symptom of lepromatous leprosy].  a347-500 v363 a<p>Bone lesions of the finger in a 20-year-old leprosy patient are described to show their diagnostic value. The aetiological differences between specific (caused by Mycobacterium leprae itself) and unspecific osseal changes are morphologically noticeable in morbus Hansen. The X-ray picture shows cystic lightening by granulomatous destruction and distal absorption of the bone. These lesions are typical, and radiological investigations might be the first step in the diagnosis of leprosy. In our case, ostitis leprosa multiplex cystica, an early, specific bone lesion, was predominant.</p>  a0017-8470