KHẢO SÁT MỘT SỐ ĐẶC ĐIỂM BỆNH PHONG VÀ CƠN PHẢN ỨNG PHONG Ở BỆNH NHÂN PHONG TẠI THÀNH PHỐ HỒ CHÍ MINH

Abstract

Background: Leprosy is a chronic infectious disease caused by Mycobacterium leprae, mainly affecting the skin, peripheral nerves, mucous membranes and eyes. Objectives: Survey the characteristics of leprosy lesions, leprosy reactions lesions in Ho Chi Minh City from June 30, 2006 to June 30, 2016. Materials and methods: Study a series of cases on patients with leprosy reactions managed in Ho Chi Minh City. Results: 86 cases had medical records that met the criteria including 70 patients (81.4%) with reversal reactions and 16 patients (28.6%) with erythema nodosum leprosy. The difference between the two groups was statistically significant with p < 0.05 when diagnosing leprosy according to Ridley-Jopling but not statistically significant when diagnosing according to the World Health Organization. Conclusion: All patients had clinical manifestations typical of leprosy. To diagnose and classify leprosy according to the World Health Organization, it is still necessary to test the microbiological index of the earlobe and skin lesions. Pathology is especially valuable in cases where leprosy is suspected but bacteriological indicators are negative, or a Ridley-Jopling classification is needed.