RESUMO
Abstract Leprosy is a chronic infectious disease caused by Mycobacterium leprae. This bacillus has a high predilection for skin and peripheral nerves. The scalp’s anatomical properties do not favor the development of such mycobacterium. We report a case of leprosy with scalp involvement, a rare occurrence in our literature.
Assuntos
Humanos , Masculino , Adolescente , Dermatoses do Couro Cabeludo/microbiologia , Hanseníase Multibacilar/patologia , Couro Cabeludo/patologia , Dermatoses do Couro Cabeludo/patologia , Biópsia , Alopecia/microbiologia , Alopecia/patologia , Hanseníase Multibacilar/complicaçõesRESUMO
We report and eight years old boy presenting with a pyogenic granuloma of the scalp, generalized alopecia, descamative plates in the neck, trunk and limbs and nail involvement. Cultures for fungus of all these lesions disclosed Microspore canis. The patient was treated with oral griseofulvin, miconazole and topical tolnaftate. Five years later and after several incomplete treatments, the patient returns with a fistulous mass of 12 x 8 cm in the dorsal area whose culture revealed Microspore canis. The mass was excised and oral ketoconazole was indicated. After three months of follow up, the patient was lost from control