A Patient With Coarse Facies And Skin Changes — A Case Report Of Undiagnosed Hansen's Disease Presenting To Primary Care. When Should We Suspect It, And What Should We Do?
- Author:
LAURA LIM XIU MEI, VICTOR LOH WENG KEONG, SEOW CHEW SWEE
- Publication Type:Journal Article
- Keywords:
Leprosy;
Hansen’s;
Lepra Reaction;
Coarse Facies
- From:The Singapore Family Physician
2016;42(1):48-53
- CountrySingapore
- Language:English
-
Abstract:
A 44-year-old Malay gentleman was seen at the polyclinic on the advice of a medical social worker. He was noted to have coarse facies, extensive skin peeling, and nail deformities in all 4 limbs. He was suspected to have leprosy and referred to the National Skin Centre (NSC) which confirmed the diagnosis of Lepromatous Leprosy by histology. He has shown good progress since starting on a course of treatment. A brief review is presented here as a reminder of the challenges faced in the care of a condition largely forgotten in our highly urbanised setting: Hansen’s disease.
- Full text:W020160210566271625380.pdf