04 Kavyasree (old batch)

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












Any reviews, comments, inputs, advice about the content or about the blog is absolutely welcome since it would really feel great to have helped a patient via this piece of work. 
Thanks & Regards
Kavyasree Kaluvala

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