Oro-facial manifestations in lepromatous leprosy patients in Central India: clinical findings from a cross-sectional study

Qua vadis leprosy?

“…Publications related to leprosy nursing are scarce. Gingival recession, tooth loss, chronic pulpitis, periodontitis and dental caries, fissuring and atrophic glossitis, fibrosis and loss of uvula are commonly seen in patients belonging to the pre-MDT era and a substantial number of them have limb deformities 15 , 16 . Can leprosy patients with deformed hands maintain oral hygiene?…”

Eyebrow and Eyelash Alopecia: A Clinical Review

“…Successful reported treatments include light-emitting diodes (630 ± 5 nm) [ 31 ], ILTA 2.5 mg/mL monthly [ 96 ], finasteride 2.5 mg/day (case series) [ 123 ], topical bimatoprost 0.03% solution (case series) [ 94 ], low dose oral minoxidil (case series) 95 Eyelashes: no standard treatment Keratosis follicularis spinulosa decalvans Scarring alopecia of the eyebrows presenting as sparse eyebrows Sparse eyelashes Yellow dots and dystrophic hairs [ 45 ] Yellow dots and dystrophic hairs [ 45 ] No standard treatment. Successful reported treatments include dapsone (100 mg/day) and topical corticosteroids to decrease inflammation (case report) [ 124 ], topical emollients and keratolytics to improve skin texture (case report) [ 45 ] Leprosy Loss of eyebrows and eyelashes bilaterally in approximately 9.3–36.5% of patients [ 47 , 48 ] Reduced hair density, multiple vellus hairs, pigment distortion, targetoid pigmentation, pinpoint white dots, and white-yellowish areas lacking structures [ 49 ] Not reported Multiple-drug therapy with dapsone, rifampin, and clofazimine can be used to treat leprosy, but eyebrow regrowth is exceptional [ 50 ] Tinea faciei/blepharo-ciliaris Pink to red scaly, inflammatory patches and plaques over eyebrows Itchy erythematous patch involving the eyelid and broken eyelash hairs [ 57 ] Comma hairs, corkscrew hairs, bent hairs, morse code hairs, zigzag hairs [ 56 ] Scaling, broken hairs, bent hairs, and morse code hairs [ 57 ] Topical antifungals ± oral terbinafine or oral itraconazole (case report) [ 57 ] Trichotillomania Isolated eyebrow hair loss without erythema Isolated alopecia only upper or lower eyelashes rather than both [ 74 ] Black dots, broken hairs at different lengths, hook hairs, tulip hairs, and the V sign [ 73 ] Broken ha...…”

“…Lepromatous leprosy may interfere with hair growth, leading to eyebrow and eyelash loss early in the disease, preceding the characteristic development of leonine facies [ 46 ]. Eyebrow and eyelash loss bilaterally is seen in approximately 9.3–36.5% of patients with lepromatous leprosy [ 47 , 48 ]. In a cross sectional study of 23 patients, trichoscopy findings included reduced hair density, multiple vellus hairs, and distorted pigmentation of skin [ 49 ] (Table 1 ).…”

Hanseníase no brasil: breve revisão

“…As lesões orais relacionadas à hanseníase aparecem, geralmente, após as alterações nasais, tendo em vista que a Mycobacterium leprae opta por áreas com menores temperaturas, como a mucosa nasal. As manifestações orais ocorrem mais em casos de hanseníase virchowiana, apresentando-se como ulcerações assintomáticas, mais comuns em palatos duro e mole , gengiva maxilar, úvula e língua (VOHRA et al, 2019;CASTELLANO et al, 2020;GUPTA et al, 2020).…”