Leprosy x ray: Difference between revisions

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==Overview==
==Overview==
[[Osteoporosis]] is a common finding in leprosy patients which along with the [[loss of sensation]] may lead to [[fractures]].


==X Ray==
==X Ray==
* The radiologic findings are similar to those caused by other conditions in which sensory impairment is complicated by traumatic injury and infection ([[charcot joint]]) such as [[diabetes mellitus]], [[frostbite]], [[pernicious anemia]], [[scleroderma]], [[syringomyelia]], [tabes dorsalis]], and [[familial sensory neuropathy]].
Because [[osteoporosis]] is common among leprosy patients, [[fractures]] may occur.  [[Sensory loss]] and the absence of [[pain]] also lead to an increase in [[trauma]] which further increases the risk of [[fractures]]<ref name="Martínez de LagránArrieta-Egurrola2009">{{cite journal|last1=Martínez de Lagrán|first1=Z.|last2=Arrieta-Egurrola|first2=A.|last3=González-Pérez|first3=R.|last4=Soloeta-Arechavala|first4=R.|title=Complicaciones óseas en un paciente con lepra lepromatosa|journal=Actas Dermo-Sifiliográficas|volume=100|issue=7|year=2009|pages=615–617|issn=00017310|doi=10.1016/S0001-7310(09)71912-X}}</ref>
* Motor denervation due to leprous infection of peripheral nerves contributes to deformities such as claw hand and claw toes and is sometimes associated with the development of concentric bone [[atrophy]].
 
* Absorption of bone in leprosy manifests as a decrease in bone length and width and results in a tapered appearance at the end of the bone, which has been likened to a licked candy stick.
* The [[X-ray|radiologic]] findings are similar to those caused by other conditions in which [[sensory loss|sensory impairment]] is complicated by [[trauma|traumatic]] injury and [[infection]] ([[charcot joint]]) such as [[diabetes mellitus]], [[frostbite]], [[pernicious anemia]], [[scleroderma]], [[syringomyelia]], [[tabes dorsalis]], and familial sensory neuropathy.
* When complicated by repeated microtrauma, secondary bacterial infection, or both, digits may be resorbed.
* [[motor neuron|Motor]] denervation due to leprous [[infection]] of [[peripheral nerves]] contributes to deformities such as ''[[claw hand]]'' and ''[[claw toes]]'' and is sometimes associated with the development of concentric [[bone]] [[atrophy]].
* Absorption of [[bone]] in leprosy manifests as a decrease in [[bone]] length and width and results in a tapered appearance at the end of the [[bone]].
* When complicated by repeated [[Microtrauma|microtrauma]], secondary [[bacterial infection]] or both, digits may be resorbed.


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[[Category:Disease]]
[[Category:Disease]]
[[Category:Dermatology]]
[[Category:Dermatology]]
[[Category:Infectious disease]]
 
[[Category:Tropical disease]]
[[Category:Tropical disease]]
[[Category:Leprosy]]
[[Category:Leprosy]]
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[[Category:Bacterial diseases]]
[[Category:Bacterial diseases]]
[[Category:Neglected diseases]]
[[Category:Neglected diseases]]
[[Category:Needs overview]]


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Latest revision as of 18:10, 18 September 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: João André Alves Silva, M.D. [2]

Overview

Osteoporosis is a common finding in leprosy patients which along with the loss of sensation may lead to fractures.

X Ray

Because osteoporosis is common among leprosy patients, fractures may occur. Sensory loss and the absence of pain also lead to an increase in trauma which further increases the risk of fractures[1]

References

  1. Martínez de Lagrán, Z.; Arrieta-Egurrola, A.; González-Pérez, R.; Soloeta-Arechavala, R. (2009). "Complicaciones óseas en un paciente con lepra lepromatosa". Actas Dermo-Sifiliográficas. 100 (7): 615–617. doi:10.1016/S0001-7310(09)71912-X. ISSN 0001-7310.

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