01441nas a2200181   4500000000100000008004100001260001200042100002400054700002300078700002200101700002100123245011400144856006900258300001200327490000700339520089900346022001401245       2021                            d  c10/20211 aVillegas-Chiroque M1 aMaldonado-Gómez W1 aEspino-Saavedra W1 aVentura-Flores R00a[Late diagnosis nodular lepromatous leprosy from the Peruvian Amazon, with development of a type 2 reaction].  uhttps://www.scielo.cl/pdf/rci/v38n5/0716-1018-rci-38-05-0707.pdf  a707-7120 v383 a<p>Leprosy or Hansen's disease is one of the classic neglected diseases that still persists in Peru. The infection is caused by Mycobacterium leprae. The disease varies in a wide range of manifestations from tuberculoid (paucibacillary) to lepromatous (multibacillary) leprosy. We present the case of a 55-year-old man, farmer and wood extractor, from the Peruvian Amazon with old infiltrating cutaneous lesions on the face, neck, thorax, abdomen and extremities. The smear and biopsy examinations confirm the presence of acid-alcohol-resistant bacilli compatible with leprosy. It is concluded, with a long delay, it was a case of nodular lepromatous leprosy. He received therapy with rifampicin, dapsone and clofamizine for two years with slow progressive improvement; however, he presented an erythema nodosum leprosum (type 2 reaction) with response to corticosteroids and thalidomide.</p>
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