Leprosy x ray: Difference between revisions
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Because [[osteoporosis]] is common | 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> | ||
* 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. | * 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. | ||
* [[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]]. | * [[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]]. | * 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. | * When complicated by repeated [[Microtrauma|microtrauma]], secondary [[bacterial infection]] or both, digits may be resorbed. | ||
Revision as of 18:14, 8 July 2014
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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]
- 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.
- 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, secondary bacterial infection or both, digits may be resorbed.
References
- ↑ 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.