Hypertrophic Neuropathy Secondary to Hansen's Disease. A Case Report

We present the case 49-year-old unmarried woman treated at the hospital of Cienfuegos. The patient complained of weakness in the lower limbs and "numbness" (paresthesia) of all four extremities, which improved slightly after treatment. A year later, the muscle weakness and paresthesia wors...

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Main Authors: María Octavina Rodríguez Roque, Didiesdle Herrera Alonso, Ada Sánchez Lozano
Format: Article
Language:Spanish
Published: Centro Provincial de Información de Ciencias Médicas. Cienfuegos 2016-08-01
Series:Medisur
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Online Access:http://medisur.sld.cu/index.php/medisur/article/view/3346
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author María Octavina Rodríguez Roque
Didiesdle Herrera Alonso
Ada Sánchez Lozano
author_facet María Octavina Rodríguez Roque
Didiesdle Herrera Alonso
Ada Sánchez Lozano
author_sort María Octavina Rodríguez Roque
collection DOAJ
description We present the case 49-year-old unmarried woman treated at the hospital of Cienfuegos. The patient complained of weakness in the lower limbs and "numbness" (paresthesia) of all four extremities, which improved slightly after treatment. A year later, the muscle weakness and paresthesia worsened, particularly in the upper limbs. She also developed hypopigmented skin lesions on the chest and abdomen. The investigation was initiated due to suspicion of hypertrophic polyneuropathy. A biopsy of the hypochromic lesions was performed, which led to the conclusion that the patient suffered from a hypertrophic polyneuropathy secondary to tuberculoid Hansen's disease. We decided to present this case since a neuropathy is usually slow, insidious and has a long course in these patients; however, leprosy reactions can lead to acute nerve damage, resulting in disabilities and deformities. Consequently, it is important to act quickly in order to avoid them.
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institution Kabale University
issn 1727-897X
language Spanish
publishDate 2016-08-01
publisher Centro Provincial de Información de Ciencias Médicas. Cienfuegos
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spelling doaj-art-8a5431f3eac540bea6bb6ae20730bffa2025-01-30T21:28:50ZspaCentro Provincial de Información de Ciencias Médicas. CienfuegosMedisur1727-897X2016-08-011444754811344Hypertrophic Neuropathy Secondary to Hansen's Disease. A Case ReportMaría Octavina Rodríguez Roque0Didiesdle Herrera Alonso1Ada Sánchez Lozano2Dirección Provincial de Salud. Cienfuegos.Hospital General Universitario Dr. Gustavo Aldereguía Lima. Cienfuegos.Hospital General Universitario Dr. Gustavo Aldereguía Lima. Cienfuegos.We present the case 49-year-old unmarried woman treated at the hospital of Cienfuegos. The patient complained of weakness in the lower limbs and "numbness" (paresthesia) of all four extremities, which improved slightly after treatment. A year later, the muscle weakness and paresthesia worsened, particularly in the upper limbs. She also developed hypopigmented skin lesions on the chest and abdomen. The investigation was initiated due to suspicion of hypertrophic polyneuropathy. A biopsy of the hypochromic lesions was performed, which led to the conclusion that the patient suffered from a hypertrophic polyneuropathy secondary to tuberculoid Hansen's disease. We decided to present this case since a neuropathy is usually slow, insidious and has a long course in these patients; however, leprosy reactions can lead to acute nerve damage, resulting in disabilities and deformities. Consequently, it is important to act quickly in order to avoid them.http://medisur.sld.cu/index.php/medisur/article/view/3346enfermedades del sistema nervioso perifericoleprainformes de casos
spellingShingle María Octavina Rodríguez Roque
Didiesdle Herrera Alonso
Ada Sánchez Lozano
Hypertrophic Neuropathy Secondary to Hansen's Disease. A Case Report
Medisur
enfermedades del sistema nervioso periferico
lepra
informes de casos
title Hypertrophic Neuropathy Secondary to Hansen's Disease. A Case Report
title_full Hypertrophic Neuropathy Secondary to Hansen's Disease. A Case Report
title_fullStr Hypertrophic Neuropathy Secondary to Hansen's Disease. A Case Report
title_full_unstemmed Hypertrophic Neuropathy Secondary to Hansen's Disease. A Case Report
title_short Hypertrophic Neuropathy Secondary to Hansen's Disease. A Case Report
title_sort hypertrophic neuropathy secondary to hansen s disease a case report
topic enfermedades del sistema nervioso periferico
lepra
informes de casos
url http://medisur.sld.cu/index.php/medisur/article/view/3346
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AT didiesdleherreraalonso hypertrophicneuropathysecondarytohansensdiseaseacasereport
AT adasanchezlozano hypertrophicneuropathysecondarytohansensdiseaseacasereport