Mycosis fun goides succeeding long term borderline leprosy with multiple episodes of type 1 reaction
Vol. 24 No. 2 (1999), Estudos clínicos
Vol. 24 No. 2 (1999)

Mycosis fun goides succeeding long term borderline leprosy with multiple episodes of type 1 reaction

Estudos clínicos
https://doi.org/10.47878/hi.1999.v24.36427
Published 1999-11-30
Raul Negrão Fleury
Medico anátomo-patologista do Instituto Lauro de Souza Lima
Diltor Vladimir Araújo Opromolla
Médico dermatologista e Diretor da Divisão de Pesquisa e Ensino da Divisão de Pesquisa e Ensino do Instituto Lauro de Souza Lima
Paulo Rogerio Taborda
Médico dermatologista do Instituto Lauro de Souza Lima
Maria Teresa Castelo Branco Ramos Nakandakari
Médica dermatologista do Instituto Lauro de Souza Lima
Cleverson Teixeira Soares
Médico anatomo-patologista do Hospital de Base de Base de Bauru
Andrea de Campos Bonfim
Médica residente do Instituto Lauro de Souza Lima
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Keywords

Leprosy
Type 1 reaction
Mycosis fungoides

How to Cite

1.
Fleury RN, Opromolla DVA, Taborda PR, Nakandakari MTCBR, Soares CT, Bonfim A de C. Mycosis fun goides succeeding long term borderline leprosy with multiple episodes of type 1 reaction. Hansen. Int. [Internet]. 1999 Nov. 30 [cited 2024 Nov. 23];24(2):137-43. Available from: https://periodicos.saude.sp.gov.br/hansenologia/article/view/36427
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Abstract

An 86 years old male was referred to the "Instituto Lauro de Souza Lima" 20 years ago with subpolar lepromatous leprosy, saddle nose and subtotal madarosis. Two months after the beginning of the treatment for Hansen's disease, the patient presented a type I reaction with neuritis. A biopsy showed a tuberculoid granulomatous reaction in the skin and nerves. During a second episode of a type I reaction he developed a severe laryngitis with upper respiratory obstruction and was submitted to a tracheostomy Several other episodes of type I reaction appeared until the patient became cured, seven years ago, after he had been under several therapeutic regimens. Short after he had been released from treatment, new skin lesions developed as several esquamous macules with well-limited edges. In 1997 some biopsies confirmed the diagnosis of mycosis fungoides. The authors discuss: a) the pathogenesis of the several episodes of a type I reaction and laryngeal involvement. b) possible relationship between multibacillary leprosy and mycosis fungoides. c) difficulties found on diagnosis of mycosis fungoides in this case. 

https://doi.org/10.47878/hi.1999.v24.36427
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