Mujer de 41 años con lesiones cutáneas

Resumen

Leprosy or Hansen’s disease is an infectious nosological entity produced by Mycobacterium leprae. Its transmission mechanism is not known exactly. It is more common in men and usually appears between the second and third decade of life. The diagnosis of leprosy is clinical, however the presence of bacilli in smears and skin biopsies and the detection of their DNA allow their confirmation. The treatment is long and the cure is achieved after several years without disease. We present a case of autochthonous leprosy attended in our center. A 41-year-old Spanish woman, a farmer who consulted due to rounded skin lesions, with a depressed center, erythematodescampathetic on the edge and accompanied by nodular skin lesions on the lower limbs. It was decided to biopsy the nodular lesions that confirmed the diagnosis of leprosy. Treatment was started and the skin lesions evolved favorably until their resolution. Currently there are two cases of active leprosy and three in surveillance after treatment. In Galicia it is unusual, and it is almost always related to the immigrant population.