01380nas a2200337 4500000000100000008004100001260001300042653001000055653000900065653002800074653001100102653002200113653001100135653002300146653001200169653002400181653002500205653002500230653000900255653001600264653001700280100002000297700002000317700002400337700002100361245004100382300001100423490000800434520058600442022001401028 1999 d c1999 Jun10aAdult10aAged10aDiagnosis, Differential10aFemale10aFollow-Up Studies10aHumans10aLeprostatic Agents10aleprosy10aLeprosy, Borderline10aLeprosy, lepromatous10aLeprosy, Tuberculoid10aMale10aMiddle Aged10aTime Factors1 aLópez-Vélez R1 aSáez Vaquero T1 aBlanco Arévalo J L1 aGómez Mampaso E00a[Leprosy simulating other diseases]. a369-720 v1993 a

The low current prevalence of leprosy in Spain together with the diversity of its clinical expression make the detection of this disease difficult. Three native and three imported cases are here reported. Different specialists mistook this disease for other entities: familial polyneuropathy, autoimmune disease, tuberculosis, cutaneous mycosis, and cutaneous sarcoidosis. Lepra is a very polymorphic disease and its diagnosis is based on finding cutaneous hypoesthesic lesions, neural thickening and presence of acid-fast bacilli (in cutaneous specimens or nasal exudates).

 a0014-2565