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Anales de la Facultad de Ciencias Médicas (Asunción)

Print version ISSN 1816-8949

Abstract

ZARZA, P et al. PENILE LEPROMATOUS LEPROSY IN A PATIENT WITH CHAGAS DISEASE.A CASE REPORT. An. Fac. Cienc. Méd. (Asunción) [online]. 2016, vol.49, n.2, pp.69-77. ISSN 1816-8949.  https://doi.org/10.18004/anales/2016.049(02)69-077.

ABSTRACT We are presenting a 52-year-old patient with phimosis due a tumor like mass, which on pathological evaluation was diagnosed as lepromatous leprosy. The patient had a history of Hansen’s disease involving the skin, the larynx and the bronchial tree. Before a circumcision, a physical examination revealed in addition to the lepromatous changes the presence of megaesophagus secondary to stenosis of the distal portion. Laboratory analysis for Tripanosomacruzii using ELISA technique was positive for Chagas Disease. We could find only one previous report of lepromatous leprosy affecting the foreskin. The coexistence of leprosy and myocardial Chagas disease is unusual but well known in reports from Brazil and India. However, this is, to our knowledge, the first case reported of an association of lepromatous leprosy and chagasicmegaesophagus in a patient with phimosis. Key Words: Leprosy, Lepromatous, Chagas Disease, Phimosis.

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