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
 
            
            
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		        	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