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Nerve abscess in Hansen’s disease as part of immune reconstitution inflammatory syndrome: a case report

*, Neema Mohammed Ali and Nayak, Kashinath and Kumar, Pramod (2017) Nerve abscess in Hansen’s disease as part of immune reconstitution inflammatory syndrome: a case report. International Journal of STD and AIDS, 28 (2). pp. 196-198. ISSN 09564624

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Abstract

Immune reconstitution inflammatory syndrome is an inflammatory reaction in HIV-infected patients after initiation of antiretroviral therapy resulting from restored immunity to specific infectious or non-infectious antigens. A 36-year-old male patient on highly active antiretroviral therapy of six months duration, presented with reddish, tender lesions over medial aspect of arm and a single, anaesthetic patch. Tender fluctuant swellings were seen on the medial aspect of left forearm. A few of them had ruptured spontaneously discharging pus. A skin biopsy from the anaesthetic patch showed caseating epitheloid granulomas. A diagnosis of Hansen’s disease borderline tuberculoid in type 1 reversal reaction, with formation of nerve abscess due to Immune Reconstitution Inflammatory Syndrome was made. The patient was started on multibacillary multidrug therapy as per WHO guidelines and highly active antiretroviral therapy was continued.

Item Type: Article
Uncontrolled Keywords: AIDS, highly active antiretroviral therapy, Indian subcontinent
Subjects: Medicine > KMC Mangalore > Dermatology
Depositing User: KMCMLR User
Date Deposited: 23 Feb 2017 10:29
Last Modified: 23 Feb 2017 10:29
URI: http://eprints.manipal.edu/id/eprint/148346

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