Leprosy Mailing List – January 27, 2014
Ref.: (LML) Clinical leprosy, case report, BL-LL leprosy in ENL reaction
From: P. Forgione and S. Noto, Naples and Bergamo, Italy
Dear Pieter,
In attachment are pictures of a young leprosy patient from Bangladesh seen in Naples, Italy.
In November 2011 he presented suffering of painful reddish nodules on face and trunk, several macules on all limbs, dry skin on right knee, leg and foot, ichthyosis like skin on right leg, anesthesia and ulcer of the right heel. Slit-skin smear examination reported a bacteriological index (BI) 4+; morphologic index (MI) 0.8% and globi. The diagnosis of borderline lepromatous – lepromatous (BL-LL) leprosy in erythema nodosum leprosum (ENL) reaction was made.
He started anti-leprosy and anti reactional treatment. ENL resolved first but, relapsed later on and became recurrent. He still is in treatment with low doses of thalidomide. The ulcer on the foot slowly closed but, relapsed again in 2013.
Thank you very much for circulating this case on the LML.
P. Forgione and S. Noto
LML - S Deepak, B Naafs, S Noto and P Schreuder
LML blog link: http://leprosymailinglist.blogspot.it/
Contact: Dr Pieter Schreuder << editorlml@gmail.com
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