"Borderline tuberculoid leprosy"

Intra-cranial involvement of trigeminal nerve in a patient with borderline tuberculoid leprosy in type 1 lepra reaction. Leprosy is a chronic infectious disease primarily involving the skin, peripheral nerves and joints. Intracranial involvement however is an unusual scenario. The affection of trigeminal nerve intra-cranially has not been reported by far. We report a leprosy patient ) and decreased sensation over left foot. Nerve conduction study showed absent compound motor action potential in left CPN. High-resolution ultrasonography with colour doppler showed enlargement of left CPN and left posterior tibial nerve. Skin biopsy was suggestive of borderline tuberculoid leprosy in type I reaction and the intracranial space occupying lesion was theorized to be an inflammatory nodule due

Borderline tuberculoid leprosy mimicking sarcoidosis: A case report. Leprosy is a chronic infectious granulomas disease caused by Mycobacterium leprae that can manifest as a wide variety of immunological and clinical features. Here, we describe the case of a woman with clinical characteristics of borderline tuberculoid (BT) leprosy that manifested as 3 asymmetric skin lesions involving her hip

A rare case of type 1 leprosy reactions following tetanus infection in a borderline tuberculoid leprosy patient and a literature review Type 1 leprosy reaction, also known as "reversal reaction", is related to cellular immune responses to Mycobacterium leprae antigens. The risk factors that trigger type 1 leprosy reactions are poorly understood. Leprosy with concurrent tetanus is rare

Dermoscopy of borderline tuberculoid leprosy. Leprosy is a chronic granulomatous condition caused by Mycobacterium leprae, and borderline tuberculoid (BT) leprosy is the most common type of leprosy and presents with large, well- to ill-defined hypopigmented patches. It is known for atypical presentations. Dermoscopy of granulomatous conditions is well documented. However, there is no description

. Moreover, the sensitivity of fluorescent stain in indeterminate leprosy, tuberculoid leprosy, borderline tuberculoid leprosy and mid borderline leprosy was 100%.12, level II-3 Another diagnostic study conducted by Nayak et al. (2003), also compared modified Fite-Faraco method with fluorescent dye method, to detect Mycobacterium leprae bacilli in tissue sections. In this study, fifty-six , modified Fite-Faraco and fluorescent stains. IL (indeterminate leprosy), TT (tuberculoid leprosy), BT (borderline tuberculoid leprosy), BB (mid borderline leprosy), BL (borderline lepromatous leprosy), LL (lepromatous leprosy).8 Adiga DSA, Hippargi SB, Rao G et al. Evaluation of Fluorescent Staining for Diagnosis of Leprosy and its Impact on Grading of the Disease: Comparison

. The majority of the patients were 18 to 30 years of age, with males predominating. Borderline tuberculoid leprosy was the most common clinical spectrum observed (71.4%). The majority had PSLs distributed predominantly over photo-exposed sites (upper limbs > trunk > face). Eight patients (22.8%) had a history of contact with leprosy patients in their family, and six patients (17.1%) had associated

of leprosy patients may develop reaction episodes. Leprosy is an infrequent complication of solid organ transplant recipients. This case report illustrates the challenges in diagnosing and managing leprosy and its reactional states in a transplant recipient. A 53-year-old man presented 34 months after a successful renal transplantation a borderline-tuberculoid leprosy with signs of mild type 1 upgrading

of HD was 67 years. Ten of these subjects were diagnosed with borderline lepromatous leprosy, seven were diagnosed with lepromatous, and one was diagnosed with borderline tuberculoid leprosy. Patients were symptomatic with arthritis for a median of 5.3 years before HD diagnosis. Sixty-two percent of patients (11) were diagnosed with rheumatoid arthritis (RA) before HD diagnosis, and 10 of which were

for indeterminate and borderline tuberculoid leprosies were 100% each. Positivity rates and mean bacteriological index with fluorescent stain was higher (43.3 and 11.5 respectively) as compared to that of Ziehl- Neelsen and Fite-faraco when the bacillary load was less (bacillary index < 3). There was significant correlation between the three staining types at higher bacillary load. There was a higher mean

in 7 cases (5.1%) and histiocytic and mixed inflammatory type each in one case (0.7%). Leprosy was the most common granulomatous lesion in 66.4% of the cases (91/137). Leprosy was the most common granulomatous lesion with Borderline Tuberculoid Leprosy (BTL) as common sub type followed by tuberculoid leprosy. Hence the combination of clinical data and histomorphological findings are essential

. Ultrasonography revealed an extensive enlargement of the nerve with presence of intraneural color Doppler signals suggestive of acute neuritis. Skin biopsy was consistent with borderline tuberculoid leprosy with type 1 lepra reaction. The patient was started on WHO multidrug therapy for paucibacillary leprosy along with antiinflammatory drugs. Persistence of vascular signals at two months' follow-up has led

and lymphocytes. Fite-Faraco staining revealed a few solid acid-fast bacilli within nerve fascicles. Reinfection or the re-reactivation of multibacillary borderline tuberculoid leprosy was diagnosed. Histopathology in the biopsy taken from the leg showed superficial, well-formed granulomas in the vicinity of hair follicles and sweat ducts. No acid-fast bacilli were seen. Analysis by PCR revealed M. leprae DNA

% of biopsy specimens contained perineural granulomas, raising the possibility of tuberculoid or borderline tuberculoid leprosy. Foreign bodies were detected in 10% of cases (all had systemic involvement), supporting the opinion that sarcoidosis and granulomatous foreign body reaction are not mutually exclusive. The clinical and histopathologic features of cutaneous sarcoidosis patients in the present

is rare in infants. Children appear to be most susceptible to leprosy and tend to have the tuberculoid form.Previous Next: PrognosisThe prognosis depends on the stage of disease. Borderline tuberculoid leprosy usually involves rapid and severe nerve damage. Reversal reactions are uncommon with lepromatous disease; therefore, lepromatous leprosy is a chronic state with long-term complications. Even of adalimumab therapy. Arch Dermatol. 2009 Mar. 145(3):349-51. [QxMD MEDLINE Link]. 27. Ghorpade A. Ornamental tattoos and skin lesions. Tattoo inoculation borderline tuberculoid leprosy. Int J Dermatol. 2009 Jan. 48(1):11-3. [QxMD MEDLINE Link]. 28. Trindade MA, Palermo ML, Pagliari C, et al. Leprosy in transplant recipients: report of a case after liver transplantation and review

patients fall into the intermediate classifications, which include borderline tuberculoid leprosy, midborderline leprosy, and borderline lepromatous leprosy. The classification of the disease typically changes as it evolves during its progression or management. The Ridley-Jopling system is used globally and forms the basis of clinical studies of leprosy. It may also be more useful in guiding treatment

is rare in infants. Children appear to be most susceptible to leprosy and tend to have the tuberculoid form.Previous Next: PrognosisThe prognosis depends on the stage of disease. Borderline tuberculoid leprosy usually involves rapid and severe nerve damage. Reversal reactions are uncommon with lepromatous disease; therefore, lepromatous leprosy is a chronic state with long-term complications. Even of adalimumab therapy. Arch Dermatol. 2009 Mar. 145(3):349-51. [QxMD MEDLINE Link]. 27. Ghorpade A. Ornamental tattoos and skin lesions. Tattoo inoculation borderline tuberculoid leprosy. Int J Dermatol. 2009 Jan. 48(1):11-3. [QxMD MEDLINE Link]. 28. Trindade MA, Palermo ML, Pagliari C, et al. Leprosy in transplant recipients: report of a case after liver transplantation and review

patients fall into the intermediate classifications, which include borderline tuberculoid leprosy, midborderline leprosy, and borderline lepromatous leprosy. The classification of the disease typically changes as it evolves during its progression or management. The Ridley-Jopling system is used globally and forms the basis of clinical studies of leprosy. It may also be more useful in guiding treatment

, Valencia I, Rivas MP, Burdick AE. Type 1 leprosy reaction manifesting after discontinuation of adalimumab therapy. Arch Dermatol. 2009 Mar. 145(3):349-51. [QxMD MEDLINE Link]. 27. Ghorpade A. Ornamental tattoos and skin lesions. Tattoo inoculation borderline tuberculoid leprosy. Int J Dermatol. 2009 Jan. 48(1):11-3. [QxMD MEDLINE Link]. 28. Trindade MA, Palermo ML, Pagliari C

, Valencia I, Rivas MP, Burdick AE. Type 1 leprosy reaction manifesting after discontinuation of adalimumab therapy. Arch Dermatol. 2009 Mar. 145(3):349-51. [QxMD MEDLINE Link]. 27. Ghorpade A. Ornamental tattoos and skin lesions. Tattoo inoculation borderline tuberculoid leprosy. Int J Dermatol. 2009 Jan. 48(1):11-3. [QxMD MEDLINE Link]. 28. Trindade MA, Palermo ML, Pagliari C

An Unusual Presentation of Sporotrichosis Sporotrichosis can mimic a few diseases. Sporotrichosis presenting as a hypoaesthetic plaque or plaque suggestive of leprosy has not been mentioned in literature. Herein we present a case of a 26 years old man who presented with hypoesthetic plaque on left ankle and was clinically diagnosed to have borderline tuberculoid leprosy who later developed few