Browsing by Autor "Anays Toro"

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    El mercado cambiario en Venezuela
    (2018) Anays Toro
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    Lepra lepromatosa . A propósito de un caso clínico
    (Universidad Internacional de La Rioja, 2014) Anays Toro; Silvana Vielma; Pierina Petrosino Tepedino; Melisse Milano Molina
    A case reportAbstract Leprosy is a chronic infectious disease, declared by the WHO as successfully controlled since several years ago, is causal by an acid-alcohol-resistant bacilli (AARB) called Mycobacterium leprae. Infection has a long incubation period and mainly affects skin, mucous membranes and peripheral nerves. Its clinical presentation comprises two polar types, lepromatous leprosy (LL), tuberculoid leprosy (TL) and three borderline expressions. Here we report a case of a 36 year-old male patient, who suffers since two years ago skin lesions characterized by hyperchromic macules that progressed to nodules, initially in hands and feet, then spread throughout the body, without respect of palm of hands and feet. Preceded by Dengue infection (20 days before), and a histopathological diagnosis as Glomangiosarcoma. Upon admission, the patient had countless indurated, multiform and confluent nodular lesions, associated to unaltered superficial or deep sensitivity or neuromuscular symptoms. Radiological studies from thorax, abdomen and pelvis showed no musculoskeletal or visceral lesions without nodal involvement. The second biopsy reported chronic inflammation, few lymphocytic infiltrate, foamy macrophages, countless and slightly curved intracellular (macrophages) AARB. Lepromin test was negative reported. The final diagnosis was lepromatous leprosy. Triple multitherapy (dapsone, rifampicin, clofazimine) was prescribed and two months later, evidence of improvement in the number and size of lesions was observed. Early diagnoses through clinical, histopathological, immunological tests are central to the broader context of clinical presentations in Leprosy.