01400nas a2200217   4500000000100000008004100001260001300042653002100055653001100076653001200087653001000099653000900109653001600118653001300134653000900147245009100156300001100247490000600258520090400264022001401168       1979                            d  c1979 Dec10aErythema Nodosum10aHumans10aleprosy10aLiver10aMale10aMiddle Aged10aNecrosis10aSkin00a[Dimorphous Hansen's disease with outbreaks of Hansen reactions and visceral lesions].  a116-250 v43 a<p>The paper presents the case of a patient with borderline hanseniasis. After a long period of illness, he presented an outbreak with new lesions, that showed reactional tuberculoid aspects; he later presented lesions with clinical and histological aspects of Virchowian hanseniasis. This evolutional type is compatible with the pseudo-exacerbations outbreaks reported by Souza Lima. This patient also presented an Erythema Nodosum outbreak with cutaneous and visceral lesions, the latter occurring with great intensity in the liver parenchyma with clinical manifestations of icterus and hepatomegaly. The pathogenesis of the pseudo-exacerbations outbreaks is discussed, also the special situation of Borderline patients, subject to neurologic injuries during the pseudo-exacerbations outbreaks, and cutaneous, neurological and visceral lesions during the Erythema Nodosum Hansenicum outbreaks.</p>  a0100-3283