173 M.Ajay kumar
Review:https://ajaypavankumarreddy.blogspot.com/2021/04/leprosy-lepra-reactions-35-year-old.html
This is an online e log book to discuss about patients de identified data shared after taking his/her /guardian signed informed consent
Case details:
A 35 year old male patient,Resident of Ramachandrapuram, Hyderabad,works as daily wage labourer.
Who is a chronic smoker(1 pack of beedi every 2 days) and taking alcoholic (90 ml daily) since 20 years.
Presented,with 3 months history of painless lesions papules with erythema that started initially over face then extended to upper limb and lower limb, trunk.
No hypodense lesions,no fever,no pus discharge,no loss of sensation,no genital lesions.
Patient got topical cream,soap and some oral drugs from medical shop.OTC
He used for 2 months few lesions regressed,but few persisted on nose,earlobe and on trunk,hands,legs.
14 days back patient developed blackish skin discoloration over hands and feet with skin peeling,cracking,ulcer formation-associated with burning sensation and erythema all over the body.
No new lesions were noted.
Since 4 days patients developed high grade fever associated with chills and rigors, continuous
Loss of appetite+
No known comorbidities
No history of similar complaints in the past
On examination:
Face- loss of eye brows
Thickened earlobes
Multiple papules with erythema over face, limbs,trunk
Oral cavity-
Palate- dark,erythematous lesion.
Diagnosis- hansen's diseases
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