Begin  The Authors
 Introduction

Tropical Diseases:

I Leishmaniasis
II Paracoccidioidomycosis
III Blastomycocis
IV Chromoblastomycosis
V Lepra
VI Sporotrichosis
VII Histoplasmosis
VIII Rhinosporidiosis
IX Mycetomas
X Rhinoscleroma
XI Chagasdisease
XII Actinomycosis
XIII Mucormycosis
XIV Amoebiasis
XV Protothecosis
XVI Lobomycosis
XVII Phaeohyphomycosis
XVIII Pruritus actinicus
XIX Bite of snake
XX Coccidioidomycosis

 List of cases

 References
 Contact

V. Lepra

Case 39: Lepra tuberculoide / Dermatophytosis

Previus Case 38

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Next Case 40

Lepra tuberculoide

Dermatophytosis

Click here to see the picture 39-A1
Fig.39-A1
Tuberculoid Lepra

A 13-years old schoolgirl from the town Barinas / Venezuela had a two years lasting erythematous -papilomatous skin lesion on her left cheek despite of several treatments improvement was not observed.

Click here to see the picture 39-B1
Fig.39-B1
Dermatophytosis

A 38-years old female patient presents on her right cheek a circular, reddish focus with a marked formation of crusts which had started several weeks ago. A biopsy was refused.

Click here to see the picture 39-A2
Fig.39-A2
Tuberculoid Lepra

In a small biopsy a granuloma is seen under higher power consisting of epitheloid cells. Both, the ZN and the Grocott method were negative. The Mitsuda reaction of the skin was weakly positive.

Click here to see the picture 39-B2
Fig.39-B2
Dermatophytosis

The culture of scraped clinical material showed after three weeks growing on Sabouraud-Glucose-Agar a whitish flocky colony with a reddish-brown border.

Click here to see the picture 39-B3
Fig.39-B3
Dermatophytosis

Smears of the fungal colony confirmed an infection with Trichophyton rubrum.


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Facultad de Medicina
Universidad de Los Andes
Merida - Venezuela