• Users Online: 2186
  • Print this page
  • Email this page
CASE REPORT
Year : 2014  |  Volume : 5  |  Issue : 4  |  Page : 504-507

Epidermotropism of lepra bacilli in a patient with histoid Hansen's disease


Department of Skin and VD, Pramukhswami Medical College, Karamsad, Anand, Gujarat, India

Correspondence Address:
Rita V Vora
B-4/Om Vila, Raja Babu Lane, Opposite Big Bazaar, Vidyanagar Road, Anand, Gujarat - 388 001
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2229-5178.142522

Rights and Permissions

Histoid leprosy is a rare form of multibacillary leprosy with distinct clinical and histopathological features. It is a variant of lepromatous leprosy with a very high bacillary load. It appears in patients as relapse after dapsone monotherapy and resistance or rarely, "de novo." Although leprosy is slowly declining the exact mode of transmission is unclear. At least until recently, the most widely held belief was that the disease was transmitted by contact between cases of leprosy and healthy persons. Transmission by the respiratory route is also gaining ground. There are other possibilities such as transmission through insects, which cannot be completely ruled out. However, the present case report possibly suggests the role of skin as a portal of both exit and entry for the bacillus in histoid leprosy transmission. De novo form of histoid leprosy has numerous solid staining bacteria inside the epidermis. The reports show that these bacilli can be eliminated from the intact epidermis, which indicate an unusual role of the skin in the transmission of leprosy.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed1950    
    Printed14    
    Emailed0    
    PDF Downloaded243    
    Comments [Add]    

Recommend this journal