Dermatite verrucosa leprotica (Estudo de 3 casos)

Abstract

<abstract language="eng">The writer has discovered in Curupaity (National Leprosarium, Rio de Janeiro), three cases of verrucous dermatitis in C 3 type lepers. He suspected it to be an association of leprosy with Dermatilis verrucosa blastomycetica (Chromoblastocycosis) but various attempts to cultivate the fungus (Acrotheca or Hormodendrum Pedrosoi) responsible for the disease gave negative results and also the histopathologic aspect of the verrucous tissue proved it to be a leprotic granuloma without mycotic association. The writer's conclusion, based upon the cultural and histopathological studies, is that the verrucous dermatitis observed is due to leprosy alone, considering it as a new syndrome of the disease and not a new clinical form. He has called it « Dermatitis verrucosa leprotica » and made suggestions to all doctors of leprosaria to look for new cases and to study their etiology and pathogeny. Electrocoagulation improved the lesions

Verrucous lepromatous leprosy: a rare form of presentation - Report on two cases

“…10 Souza-Araujo, in 1937, described three cases of lepromatous leprosy with verrucous lesions, which he denominated "leprous verrucous dermatitis". 5 In the same year, Baptista reported a similar case, using the name "verrucous leproma". 6 In 1939, Braga described two cases, adopting the same denomination as Baptista.…”

“…2-5,7,8 It is considered that the verrucous lesions are an uncommon cutaneous manifestation and not a distinct variant of the disease. 6 Etiology is uncertain, but sensory loss, hypo or anhidrosis and inappropriate footwear, are factors that tend to be present.…”

“…It is concluded that leprosy may rarely manifest with verrucous lesions, especially in the lepromatous pole of the disease, suggesting advanced disease. 2 - 5 , 7 , 8 It is considered that the verrucous lesions are an uncommon cutaneous manifestation and not a distinct variant of the disease. 6 Etiology is uncertain, but sensory loss, hypo or anhidrosis and inappropriate footwear, are factors that tend to be present.…”