Reação tipo 2 (Erítema Polímorfo Hansênico) como primeira manifestação clínica de hanseníase na faixa vírchovíana

Jaison Antônio Barreto Barreto; lana Costa Freitas

doi:10.47878/hi.2005.v30.35493

Authors

Jaison Antônio Barreto Barreto Médico Dermatologista do Instituto Lauro de Souza Lima. Hansenologista. Mestre em Ciências.
lana Costa Freitas Médica Residente do 1° Ano do Programa de Residência Médica em Dermatologia do Instituto Lauro de Souza Lima.

DOI:

https://doi.org/10.47878/hi.2005.v30.35493

Keywords:

leprosy, type 2 reaction, antibiotics

Abstract

A 51 years old man presented inguinal lymphadenitis followed by fever. He was treated with antibiotics and developed multiforme erythema like lesions. A skin biopsy showed active leprosy in the lepromatous range plus type 2 reaction. There wasn't epidemiological data or cutaneous lesions suggestive of leprosy, and no signs or symptoms of neural damage was found. The case showed two peculiarities: type 2 reaction as the first manifestation of leprosy (before beginning of multidrugtherapy) and presenting as multiforme erythema-like lesions. The authors discuss the pathogenesis of these manifestations, and remember that is important to think in leprosy face to multiforme erythema-like lesions in endemic areas.

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