Nervous leprosy revealed after treatment of atopic eczema

Résumé fourni par la source

Herein, we report a case of pure nerve leprosy revealed after the treatment of pyoderma in the context of atopic dermatitis.Questioning revealed a history of treated leprosy in the grandfather and asthma in the mother.On examination, he presented with multiple, ulcerative, crusted lesions on the backs of his hands, armholes, and on either side of the popliteal creases.Antibiotic therapy combined with an antiseptic, 5% urea Vaseline and betamethasone ointment led to a marked improvement in the lesions.Three weeks later, he returned with pain and paresthesia in his wrists and knees.There was hypertrophy of the peripheral nerves and palmar-plantar hypoesthesia.The condition was reactive.The patient was treated with OMS MB polychemotherapy and oral corticosteroids.He healed without sequelae.

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