Monday, January 22, 2018

(LML) Request for advice

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

LML blog link:

Contact: Dr Pieter Schreuder <<


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