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Id: 19931 Author: Richard, Bruce M; Corry, Peter R. Title: Cervical branch of the facial nerve in leprosy. Source: Int. J. Lepr;65(2):170-177, Jun. 1997. tab. Abstract: This study demonstrates that the platysma is occasionally palsied in leprosy and that this only occurs when the facial nerve already has some other palsy. That there needs to be a facial palsy before there can be a platysma palsy is strongly suggested, in that there was no case of an isolated platysma palsy. Patients, regardless of age or other factors, could mimic a platysma contraction. This obviates the need for electrical testing to examine for a platysma palsy. It also means that a nonfunctioning platysma on clinical examination is, in fact, a palsied platysma. While lagophthalmos is regularly examined for, and any obvious facial paresis would be noticed, less severe forms of facial muscle paresis will only be found if formally examined for. The mechanism whereby the facial nerve is involved in leprosy is not clarified, but our findings suggest that proximal spread of a lesion that began in the zygomatico-temporal branches and reaches to the facial nerve trunk is more likely than new lesions developing de novo in other peripheral facial nerve branches. That the primary lesion is within the facial nerve trunk in all cases but we only see the frequent zygomatic sequelae due to secondary factors is not excluded. (AU)^ien. Descriptors: Hanseníase Dimorfa/diag Hanseníase Virchowiana/diag Hanseníase Tuberculóide/diag Hanseníase/diag Paralisia Facial/diag Limits: Humanos Masculino Feminino Location: BR191.1

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Id: 19920 Author: Frankel, Richard I. Title: Regarding Ebenezer, et al. 's MB nerve histology in clinically diagnosed BT leprosy patients. Source: Int. J. Lepr;65(1):99-100, Mar., 1997. . Descriptors: Hanseníase Dimorfa/clas Hanseníase Dimorfa/diag Hanseníase Tuberculóide/clas Hanseníase Tuberculóide/diag Location: BR191.1

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Id: 18882 Author: Bechelli, L. M; Quagliato, R. Title: Lepra dimorfa ("Borderline"). Sua classificação. Source: Rev. bras. Leprol;28(3):129-140, set. 1960. . Abstract: Os AA. consideram a posição da lepra dimorfa ("borderline") na classificação, baseados em 28 casos e nos seguintes elementos: características clínicas, bacterioscopia, histologia, prova lepromínica, freqüência e origem. Julgam que a lepra dimorfa é apenas uma fase de transição, que raramente ocorre no curso da moléstia ou por influência da terapêutica. Em alguns doentes, comporta-se de modo semelhante à lepra tuberculóide em reação, regredindo após alguns meses de tratamento, enquento em outros, exige até 3 ou 4 anos para sua evolução. Como a lepra evolui em "câmara lenta", esta fase persiste por tempo maior ou menor, mas constituiria apenas um fato de passagem entre uma forma e outra. Sendo assim e pela sua raridade, pensam que o grupo dimorfo deve ser exclu¡do da classificação; está, além de ser científica, deve possuir também cunho prático, abrangendo, de preferência, as formas comuns da molèstia e nâo raras ou os aspectos transicionais. Os AA. aguardam a oportunidade de ampliar o material e, inclusive, obter ou apreciar os resultados de exames sorológicos e bioqu¡micos, para confirmar ou modificar a presente opinião. (AU)^ipt. Descriptors: Hanseníase Dimorfa/diag Hanseníase Dimorfa/imunol Hanseníase Dimorfa/microbiol Hanseníase Dimorfa/fisiopatol Hanseníase Dimorfa/reabil Electronic Medium: http://hansen.bvs.ilsl.br/textoc/revistas/brasleprol/1960/PDF/v28n3/v28n3a01.pdf / pt Location: BR191.1

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Id: 18873 Author: Campos, Nelson Souza. Title: Contribuição ao estudo clínico da lepra dimorfa. Source: Rev. bras. Leprol;28(2):61-69, jun. 1960. . Descriptors: Hanseníase Dimorfa/diag Hanseníase Dimorfa/epidemiol Hanseníase Dimorfa/imunol Hanseníase Dimorfa/prev Hanseníase Dimorfa/fisiopatol Hanseníase Dimorfa/transm Electronic Medium: http://hansen.bvs.ilsl.br/textoc/revistas/brasleprol/1960/PDF/v28n2/v28n2a01.pdf / pt Location: BR191.1

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Id: 18378 Author: Velasco, Felix Title: Tuberculoid leprosy - its transformation into lepromatous type ..- Source: s.l; s.n; 1940. 16 p. ilus, tab. Abstract: A brief review of the contradictory opinions of different authors as to the nature and the place of tuberculoid cases of leprosy in the evolution and pathogenesis of the disease is presented. Mention is also made of their failure to agree on what could be generally considered as the esential histological features of this condition. A case of tuberculoid leprosy which has undergone transformation into a lepromatous-type case within six years of observation is presented. This case report together with the clinical, bacteriological and histological studies of other authors seem to agree with the opinion of Manalang that tuberculoid leprosy is a stage in the evolution of leprosy, not immutable as assert by Schujman. That such transformation among adult tuberculoid cases is rare because they represent the filtered resistant ones or benign infections, is indicated. The need for continued follow-up and life-long study of contact children born of leper parents in institutions is indispensable if we are to know the evolution of leprosy. (AU). Descriptors: HANSENIASE VIRCHOWIANA/compl HANSENIASE VIRCHOWIANA/diag HANSENIASE VIRCHOWIANA/microbiol HANSENIASE VIRCHOWIANA/patol HANSENIASE TUBERCULOIDE/compl HANSENIASE TUBERCULOIDE/diag HANSENIASE TUBERCULOIDE/microbiol HANSENIASE TUBERCULOIDE/patol HANSENIASE/clas HANSENIASE/compl HANSENIASE/diag - HANSENIASE DIMORFA/compl  HANSENIASE DIMORFA/diag  MYCOBACTERIUM LEPRAE/citol  MYCOBACTERIUM LEPRAE/imunol  MYCOBACTERIUM LEPRAE/patogen Limits: RELATO DE CASO Location: BR191.1; 00661/s

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Id: 18354 Author: Matthews, L. J; Trautman, J. R Title: Clinical and serological profiles in leprosy ?- Source: s.l; s.n; 1965. 4p p. tab. Abstract: Numerous clinical and serological similarities exist between lepromatous and dimorphous leprosy and diseases od collagen, particularly lupus erythematosus and rheumatoid arthritis. The clinical manifestations include spontaneous skin-ulcerations, ischaemic necrosis, petechial and purpuric eruptions, vesicle and bulla formation, subcutaneous nodules, hepatosplenomegaly, migratory arthralgia and polyarthritis, bizarre skin lesions including butterfly facial rashes, and a general tendency toward exacerbations and remissions. Haematological findings include anaemia and the ocasional appearance of lupus cells.Positive serological findings include rheumatoid factors, circulating thyroglobulin antibodies, false positive serological tests for syphilis, and cold precipitable proteins (a consistent finding). Because of these similarities, the authors believe that leprosy is a disease which should be considered as a model for the study of hyperglobulinaemic states, especially the diseases of collagen. An important consideration is that, unlike these other diseases, the agent causing leprosy is known. Descriptors: HANSENIASE DIMORFA/sangue HANSENIASE DIMORFA/diag HANSENIASE VIRCHOWIANA/sangue HANSENIASE VIRCHOWIANA/diag SEROLOGIA/métodos SEROLOGIA/estatíst SEROLOGIA/tend - TIROGLOBULINA/anal  TIROGLOBULINA/sangue  SORODIAGNOSTICO DA SIFILIS Limits: HUMANO Location: BR191.1; 01815/s

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Id: 18337 Author: Godal, T Title: Recent advances in the immunology of leprosy with special reference to new approches in immunoprophylaxis ..- Source: s.l; s.n; 1976. 51 p. tab, graf. Descriptors: HANSENIASE DIMORFA/diag HANSENIASE DIMORFA/imunol HANSENIASE DIMORFA/fisiopatol HANSENIASE DIMORFA/transm HANSENIASE VIRCHOWIANA/imunol HANSENIASE VIRCHOWIANA/fisiopatol HANSENIASE VIRCHOWIANA/transm HANSENIASE TUBERCULOIDE/imunol HANSENIASE TUBERCULOIDE/fisiopatol HANSENIASE TUBERCULOIDE/transm - MYCOBACTERIUM LEPRAE/imunol Limits: ESTUDO COMPARATIVO Location: BR191.1; 01035/s

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Id: 18329 Author: Fasal, P Title: Leprosy occurs everywhere ?- Source: San Francisco; s.n; 1965. 7p p. ilus. Abstract: Leprosy can occur at all ages, in both sexes and in every race. It can be found in any geographic area and can simulate many diseases, especially those affecting the skin. The lepromatous type indicates less host resistance than the tuberculoid type. Histopathologic examination of a properly stained specimen obtained by skin biopsy is the most important diagnostic procedure. Treatment consist of long-term chemotherapy with sulfone drugs. Descriptors: HANSENIASE/clas HANSENIASE/compl HANSENIASE/diag HANSENIASE/epidemiol HANSENIASE/imunol HANSENIASE/terap HANSENIASE/transm HANSENIASE DIMORFA/diag HANSENIASE TUBERCULOIDE/diag HANSENIASE VIRCHOWIANA/diag HANSENIASE/patol DAPSONA/admin DAPSONA/uso terap - DISTRIBUICAO ESPACIAL  ANTIGENO DE MITSUDA/admin  ANTIGENO DE MITSUDA/anal  BIOPSIA/util Limits: HUMANO Location: BR191.1; 00198/s

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Id: 18328 Author: Wade, H. W Title: Relapsed and borderline cases of tuberculoid leprosy ?- Source: s.l; s.n; 1941. 15p p. ilus. Abstract: The question of the prospect for absolute cure, oron the other hand that of transformation to the lepromatous type, of active major tuberculoid cases, especially those that at one time or another have been found bacteriologically positive, is discussed. Out of twelve such cases observed at Cebu for several years, no less than seven have relapsed at one time or another after apparently complete recession of the disease. In one instance there had been a period of five years without trouble. It is suggested that the feature of relapse in tuberculoid leprosy is worthy of more attention than it has received. Lepromatous transformations has not as yet occurred in any of these cases. Two of them, however, have persisted for three years and more in an unstable, borderline condition, the picture dominated by repeated papular eruptions, the lesions atypical clinically and histologically. Another borderline case of decidelly different aspect seen in China is cited; it presented at the same time apparently lepromatous, tuberculoid and intermediate lesions and was looked upon as transitional, yet later recession occurred as is common in ordinary tuberculoid leprosy...AU. Descriptors: HANSENIASE DIMORFA/diag HANSENIASE DIMORFA/epidemiol HANSENIASE DIMORFA/imunol HANSENIASE DIMORFA/microbiol HANSENIASE TUBERCULOIDE/diag HANSENIASE TUBERCULOIDE/epidemiol HANSENIASE TUBERCULOIDE/imunol HANSENIASE TUBERCULOIDE/microbiol HANSENIASE DIMORFA/compl HANSENIASE TUBERCULOIDE/compl - RECIDIVA  HOSPITAIS DE DERMATOLOGIA SANITARIA DE PATOLOGIA TROPICAL/clas  HOSPITAIS DE DERMATOLOGIA SANITARIA DE PATOLOGIA TROPICAL/hist  HOSPITAIS DE DERMATOLOGIA SANITARIA DE PATOLOGIA TROPICAL/util  ANTIGENO DE MITSUDA/anal  ANTIGENO DE MITSUDA/imunol Limits: RELATO DE CASO Location: BR191.1; 01062/s

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Id: 18312 Author: Fasal, Paul Title: A primer of leprosy ..- Source: San Francisco; s.n; 1971. 5 p. ilus. Abstract: Leprosy is one of the great imitators in medicine it imitantes many diseases mainly thoose affecting the skin and nerves. The diagnosis of leprosy can only be estalished with certainty by histopathological examination of a biopsy specimen obtained from the skin or nerve. Leprosy is not limited to any race or geographic distribution it can occur in persons of any ethnic origin of any place of birth and for any age.(AU). Descriptors: HANSENIASE DIMORFA/diag HANSENIASE DIMORFA/fisiopatol HANSENIASE DIMORFA/terap HANSENIASE VIRCHOWIANA/diag HANSENIASE VIRCHOWIANA/fisiopatol HANSENIASE VIRCHOWIANA/terap HANSENIASE TUBERCULOIDE/diag HANSENIASE TUBERCULOIDE/fisiopatol HANSENIASE TUBERCULOIDE/terap PELE/anat PELE/les PELE/inerv GRANULOMA/fisiopatol Limits: ESTUDO COMPARATIVO Location: BR191.1; 01043/s

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Id: 18281 Author: Hertaing, R. de; Coutejore, J Title: La lepre aujourd'hui: conceptions recentes de la lutte contre la lepre ..- Source: Kangu; s.n; s.d. 40 p. ilus, mapas. Descriptors: HANSENIASE DIMORFA/compl HANSENIASE DIMORFA/diag HANSENIASE VIRCHOWIANA/compl HANSENIASE VIRCHOWIANA/diag HANSENIASE TUBERCULOIDE/compl HANSENIASE TUBERCULOIDE/diag HANSENIASE/clas HANSENIASE/compl HANSENIASE/diag HANSENIASE/hist HANSENIASE/imunol HANSENIASE/microbiol HANSENIASE/prev HANSENIASE/terap HANSENIASE/transm HANSENOSTATICOS/admin HANSENOSTATICOS/uso terap HANSENIASE/epidemiol - EDUCACAO EM SAUDE/rec hum  EDUCACAO EM SAUDE/métodos  EDUCACAO EM SAUDE/org  EDUCACAO EM SAUDE/tend Limits: HUMANO Location: BR191.1; 00456/s

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Id: 18250 Author: Romero L., Arturo. Title: Mortalidad entre los enfermos de lepra controlados. De 1946-1949 / Mortality between the controlled patients of leprosy. Of 1946-1949 Source: In: Anon.Revista médica de Costa Rica. San Jose, s.n, 1950. p.278-280tab. Abstract: de 1946 a 1949 fallecieron 19 enfermos de lepra. Solo un caso murio por lepra; 2 casos por complicaciones de lepra (nefritis y cirrosis hepatica) y los demas por enfermedades intercurrentes (4 por tubeerculosis; 4 por insuficiencia cardiaca, etc). (AU). Descriptors: HANSENIASE DIMORFA/compl HANSENIASE DIMORFA/diag HANSENIASE DIMORFA/mortal HANSENIASE VIRCHOWIANA/compl HANSENIASE VIRCHOWIANA/diag HANSENIASE VIRCHOWIANA/mortal HANSENIASE TUBERCULOIDE/compl HANSENIASE TUBERCULOIDE/diag HANSENIASE TUBERCULOIDE/mortal Limits: RELATO DE CASO HUMANO MASCULINO FEMININO Location: BR191.1; 08950/S

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Id: 18248 Author: Romero L., Arturo. Title: Los anteojos como ayuda terapeutica en lepra / The eyeglasses like terapeutica aid in leprosy Source: In: Anon.Revista médica de Costa Rica. San Jose, s.n, 1950. p.269-270tab. Abstract: Se ha observado en los enfermos de lepra, que las cejas y las pestanas reaparacen con los tratamientos sulfonicos , pero se ha observado tambien que el uso constante de anteojos oscuros permite un crecimiento mas rapido (AU). Descriptors: HANSENIASE DIMORFA/diag HANSENIASE DIMORFA/enf HANSENIASE DIMORFA/prev HANSENIASE DIMORFA/fisiopatol HANSENIASE DIMORFA/reabil HANSENIASE DIMORFA/terap Limits: RELATO DE CASO HUMANO Location: BR191.1; 08950/S

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Id: 18243 Author: Romero L., Arturo. Title: Sintomas de principio de la lepra en enfermos menores de 15 anos (1) / Symptoms of principle of the leprosy in smaller patients of 15 anuses (1) Source: In: Anon.Revista médica de Costa Rica. San Jose, s.n, 1950. p.253-255. Abstract: Los sintomas de principio de la lepra observados en enfermos menores de 15 años, fueron: Tipo lepromatoso: 1) caida de cejas y pestanas. 2) rinitis obstructiva. 3) eritema purpúrico-necrótico. los nodulos son rarisimos como signo de principio; las manchas o placas infiltradas color sepia tambien son raras. Tipo Tuberculoide: 1) placas eritematosas de bordes bien marcados. 2) Lesiones troficas precoces de las manos. Tipo Indiferenciado: 1) manchas acromicas anestesicas localizadas por orden de frecuencia en las regiones gluteas, lumbar, muslos y espalda. (AU). Descriptors: HANSENIASE DIMORFA/diag HANSENIASE DIMORFA/enf HANSENIASE DIMORFA/fisiopatol HANSENIASE VIRCHOWIANA/diag HANSENIASE VIRCHOWIANA/enf HANSENIASE VIRCHOWIANA/fisiopatol HANSENIASE TUBERCULOIDE/diag HANSENIASE TUBERCULOIDE/enf HANSENIASE TUBERCULOIDE/fisiopatol - ADOLESCÊNCIA/fisiol Limits: RELATO DE CASO HUMANO ADOLESCENCIA Location: BR191.1; 08950/S

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Id: 18212 Author: Brasil. Ministerio da Saude; Secretaria de Atenção a Saúde; Departamento de Atenção Básica. Title: Hanseníase / Leprosy Source: In: Brasil. Ministerio da Saude; Secretaria de Atenção a Saúde; Departamento de Atenção Básica.Vigilância em saúde: dengue, esquistossomose, hanseníase, malária, tracoma e tuberculose. Brasilia, Ministério da Saúde, 2007. p.7-104ilus, tab. (Serie A. Normas e Manuais Técnicos. Cadernos de Atenção Basica, 21). Descriptors: HANSENIASE DIMORFA/diag HANSENIASE DIMORFA/epidemiol HANSENIASE DIMORFA/prev HANSENIASE DIMORFA/fisiopatol HANSENIASE DIMORFA/reabil HANSENIASE VIRCHOWIANA/diag HANSENIASE VIRCHOWIANA/epidemiol HANSENIASE VIRCHOWIANA/prev HANSENIASE VIRCHOWIANA/fisiopatol HANSENIASE VIRCHOWIANA/reabil HANSENIASE TUBERCULOIDE/epidemiol HANSENIASE TUBERCULOIDE/prev HANSENIASE TUBERCULOIDE/fisiopatol HANSENIASE TUBERCULOIDE/reabil - NERVO RADIAL/les  NERVO ULNAR/les Limits: ESTUDO COMPARATIVO HUMANO Location: BR191.1; , B736v

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Id: 18196 Author: Dimensao missionaria diocese de Bauru. Universidade do Sagrado Coração*. Title: Manual de orientações para clientes com hanseniase Manual of orientations for customers with leprosy- Source: Bauru; s.n; s.d. 52 p. tab. Descriptors: HANSENIASE DIMORFA/diag HANSENIASE DIMORFA/epidemiol HANSENIASE DIMORFA/etiol HANSENIASE DIMORFA/hist HANSENIASE DIMORFA/prev HANSENIASE DIMORFA/fisiopatol HANSENIASE DIMORFA/reabil HANSENIASE VIRCHOWIANA/diag HANSENIASE VIRCHOWIANA/epidemiol HANSENIASE VIRCHOWIANA/etiol HANSENIASE VIRCHOWIANA/hist HANSENIASE VIRCHOWIANA/prev HANSENIASE VIRCHOWIANA/fisiopatol HANSENIASE VIRCHOWIANA/reabil HANSENIASE TUBERCULOIDE/diag HANSENIASE TUBERCULOIDE/epidemiol HANSENIASE TUBERCULOIDE/etiol HANSENIASE TUBERCULOIDE/hist HANSENIASE TUBERCULOIDE/prev HANSENIASE TUBERCULOIDE/fisiopatol HANSENIASE TUBERCULOIDE/reabil Limits: ESTUDO COMPARATIVO Location: BR191.1; 01122/d.a

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Id: 18023 Author: Sousa, Danilo Silveira; Ura, Somei; Opromolla, Diltor Vladimir Araújo; Fleury, Raul Negrão. Title: Hanseníase dimorfa reacional - reação tipo 1 / Leprosy bordeline reactional - reaction type 1 Source: In: Sociedade Brasileira de Dermatologia.Jornada Dermatológica Paulista, 119. Bauru, Instituto Lauro de Souza Lima, 2004. p.42-43ilus. Conference: Present in: Jornada Dermatológica Paulista, 119, Bauru, 06 nov. 2004. Descriptors: HANSENIASE DIMORFA/compl HANSENIASE DIMORFA/diag HANSENIASE DIMORFA/fisiopatol HANSENIASE DIMORFA/reabil HANSENIASE DIMORFA/terap Limits: RELATO DE CASO HUMANO Location: BR191.1; WR100.3, S13j

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Id: 18022 Author: Ura, Somei; Ghidella, Cássio César; Nakandakari, Sadamitsu; Barreto, Jason Antonio; Fleury, Raul Negrão; Daolio, Anselmo. Title: Hanseníase dimorfa tuberculóide / Leprosy bordeline tuberculoid Source: In: Sociedade Brasileira de Dermatologia.Jornada Dermatológica Paulista, 119. Bauru, Instituto Lauro de Souza Lima, 2004. p.14-15ilus. Conference: Present in: Jornada Dermatológica Paulista, 119, Bauru, 06 nov. 2004. Descriptors: HANSENIASE DIMORFA/compl HANSENIASE DIMORFA/diag HANSENIASE DIMORFA/fisiopatol HANSENIASE DIMORFA/reabil HANSENIASE DIMORFA/terap HANSENIASE TUBERCULOIDE/compl HANSENIASE TUBERCULOIDE/diag HANSENIASE TUBERCULOIDE/fisiopatol HANSENIASE TUBERCULOIDE/reabil HANSENIASE TUBERCULOIDE/terap Limits: RELATO DE CASO HUMANO Location: BR191.1; WR100.3, S13j

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Id: 17876 Author: Opromolla, Diltor Vladimir Araújo; Tonello, Claúdio José S; Fleury, Raul Negräo. Title: Hanseníase dimorfa e infecçäo pelo HIV (Aids) / Borderline leprosy and HIV infection Source: Hansen. int;25(1):54-59, jan.-jul. 2000. ilus. Abstract: Uma paciente jovem, de cor branca apresentando dor na perna esquerda e uma placa no membro superior esquerdo com distúrbios de sensibilidade, baciloscopia + e com diagnóstico de hanseníase DT, iniciou tratamento com a PQT/OMS para MB. Três meses após o início do tratamento, apresentou surto reacional (Reaçäo tipo 1) com acentuaçäo da infiltraçäo e do edema na lesäo inicial e o aparecimento de várias outras placas, também eritematosas, disseminadas por todo o tegumento. Nessa ocasiäo, a dor na perna continuava e näo parecia relacionada com a hanseníase. Pelo fato de eletroneuromiografia ter sido inconclusiva, foi realizada uma ressonância magnética que acusou um neurinoma no nível da 4ª vértebra lombar que a histopatologia mostrou tratar-se de um schwanoma benigno. O tumor foi retirado cirugicamente e a dor desapareceu...(AU). Descriptors: HANSENIASE DIMORFA/diag HANSENIASE DIMORFA/fisiopatol HANSENIASE DIMORFA/reabil SINDROME DE IMUNODEFICIÊNCIA ADQUIRIDA/compl SINDROME DE IMUNODEFICIÊNCIA ADQUIRIDA/diag HIV/imunol HIV/fisiol Limits: RELATO DE CASO HUMANO FEMININO ADULTO Electronic Medium: http://hansen.bvs.ilsl.br/textoc/hansenint/v21aov29/2000/PDF/v25n1/v25n1a06.pdf / pt Location: BR191.1

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Id: 17839 Author: Fleury, Raul Negrao; Opromolla, Diltor V. A.. Title: Hanseníase dimorfa com padröes diversos de reaçäo granulomatosa em pele e vísceras / Borderline leprosy with several patterns of granulomatous reactions in skin and visceras Source: Hansen. int;20(1):49-54, jan.-jun. 1995. ilus. Abstract: Um paciente com história de no mínimo 12 anos de evoluçao, considerado como portador de Hanseníase virchoviana e com todas as seqüelas características (madarose, queda de pirâmide nasal, fibrose e atrofia dos testículos) além de episódios de Eritema nodoso hansênico, apresenta padroes diversos de reaçao granulomatosa em pele, nervos e vísceras. Observa-se granulomas virchovianos ativos, granulomas virchovianos regressivos, granulomas dimorfos difusos, e granulomas com padrao tuberculóide na presença de rica baciloscopia incluindo bacilos típicos. O aspecto mais interessante é o encontro de granulomas tuberculóides múltiplos em linfonodos, medula óssea, fígado e baço. A rica baciloscopia e a presença de bacilos típicos, apesar do predomínio de reaçao granulomatosa de padrao tuberculóide fala a a favor de uma piora da doença. Discute-se a interpretaçao imunológica deste tipo de reaçao e sua relaçao com a má evoluçao do paciente. (AU). Descriptors: HANSENIASE DIMORFA/compl HANSENIASE DIMORFA/diag HANSENIASE DIMORFA/fisiopatol PELE/anat PELE/les PELE/fisiopatol HANSENIASE VIRCHOWIANA/compl HANSENIASE VIRCHOWIANA/diag HANSENIASE VIRCHOWIANA/fisiopatol Limits: RELATO DE CASO HUMANO MASCULINO Electronic Medium: http://hansen.bvs.ilsl.br/textoc/hansenint/v01aov20/1995/PDF/v20n1/v20n1a06.pdf / pt Location: BR191.1

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