Leprosy Mailing List – January 22, 2018
Ref.: (LML) Request for advice
From: Tahir Dahiru, Jos, Nigeria
Dear Pieter Schreuder,
Happy new year. I send to you the attached photos of a HIV seropositive individual who presented in a rural Hospital in Northern Nigeria with multiple infiltrated skin lesions on his face and ear lobes. He also has Madarosis. There were also fairly defined hypopigmented skin lesions in his forearms. some areas of the lesion are itchy while others were not. Slit Skin Smear was negative .There was no sensory loss on any of the skin lesions on the forearms but there were multiple bilateral peripheral nerve enlargement involving both ulnar nerves, radial cutaneous nerves, common peroneal nerves and posterior tibial nerves. Based on clinical history and sign we made a clinical diagnosis of MB Leprosy and we gave MDT MB.
The question is can Leprosy lesions itch? The patient noticed the first lesion according to him which appeared very small on his face one and a half years ago. If this information is correct, can the HIV infection be responsible for the rapid progression to this advanced MB disease?
Dr Tahir D.
LML - S Deepak, B Naafs, S Noto and P Schreuder
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