Leprosy in the Guise of Skin Tuberculosis — Complexities of Diagnostics

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Abstract

Objective: demonstration of the case of the leprosy late diagnosis at the female patient previously watched with the diagnosis «skin tuberculosis». Materials and Methods. A 69 years old female patient watched from 2011 to 2016 with the diagnosis «skin tuberculosis» and was cured with weak effect; in 2016 the diagnosis «skin tuberculosis» was not confirmed. She undergone assessment at the State Research Centre for Dermatovenereology and Cosmetology of the Ministry of Health of the Russian Federation. The assessment included bacterioscopy of skin scrapings, pathomorphological studies of biopsy samples, molecular genetic testing. Results. On the grounds of complaints, medical history, data of surveying and physical examination, results of the clinical-laboratory studies the following diagnosis was stated: «dimorphous leprosy, leprosy BB (multibacillary leprosy, border line leprosy, active stage). Conclusion. The present observation indicates that the variety of leprosy clinical presentations and lack of suspicions on account of this ultra-rare disease lead to late diagnosis.

About the authors

V. G. Semyonova

State Research Center of Dermatovenereology and Cosmetology, Ministry of Health of the Russian Federation

Author for correspondence.
Email: v.g.semenova@mail.ru

Head of the Sergiyev Posad Branch 

Russian Federation

A. E. Karamova

State Research Center of Dermatovenereology and Cosmetology, Ministry of Health of the Russian Federation

Email: fake@neicon.ru

PhD (Medicine), Head of the Department of Dermatology

Russian Federation

M. A. Nefyodova

State Research Center of Dermatovenereology and Cosmetology, Ministry of Health of the Russian Federation

Email: fake@neicon.ru

МD, Junior Scientific Researcher, Department of Dermatology

Russian Federation

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CrossRef: 2

  1. Karamova AE, Semenova VG, Verbenko DA, Obraztsova OA, Vanchugova KM, Nikonorov AA, et al. Experimental Modeling of Leprosy in BALB/c, BALB/c Nude, CBA, and C57BL/6ТNF—/— Mice. Bulletin of Experimental Biology and Medicine. 2020;169(6):836. doi: 10.1007/s10517-020-04991-7
  2. Yanchevskaya EY, Duiko VV, Mesnyankina OA, Levicheva YY. A case of lepromatous leprosy. Kuban Scientific Medical Bulletin. 2020;27(2):144. doi: 10.25207/1608-6228-2020-27-2-144-151

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