A chronic granulomatous infection caused by MYCOBACTERIUM LEPRAE. The granulomatous lesions are manifested in the skin, the mucous membranes, and the peripheral nerves. Two polar or principal types are lepromatous and tuberculoid.
A chronic communicable infection which is a principal or polar form of LEPROSY. This disorder is caused by MYCOBACTERIUM LEPRAE and produces diffuse granulomatous skin lesions in the form of nodules, macules, or papules. The peripheral nerves are involved symmetrically and neural sequelae occur in the advanced stage.
A principal or polar form of LEPROSY in which the skin lesions are few and are sharply demarcated. Peripheral nerve involvement is pronounced and may be severe. Unlike lepromatous leprosy (LEPROSY, LEPROMATOUS), the lepromin test is positive. Tuberculoid leprosy is rarely a source of infection to others.
A form of LEPROSY in which there are clinical manifestations of both principal types (lepromatous and tuberculoid). The disease may shift toward one of these two polar or principal forms.
A personality disorder marked by a pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity beginning by early adulthood and present in a variety of contexts. (DSM-IV)
A species of gram-positive, aerobic bacteria that causes LEPROSY in man. Its organisms are generally arranged in clumps, rounded masses, or in groups of bacilli side by side.
A form of LEPROSY classified by the World Health Organization for the purpose of treatment, based on clinical manifestations and skin smear results. Patients with multibacillary leprosy have six or more lesions with or without positive skin smear results for the causative agent MYCOBACTERIUM LEPRAE. Multibacillary leprosy encompasses borderline lepromatous, midborderline, and lepromatous leprosy.
Substances that suppress Mycobacterium leprae, ameliorate the clinical manifestations of leprosy, and/or reduce the incidence and severity of leprous reactions.
A form of LEPROSY classified by the World Health Organization for the purpose of treatment, based on clinical manifestations and skin smear results. Patients with paucibacillary leprosy have fewer than six skin lesions with no causative agent MYCOBACTERIUM LEPRAE on any slit-skin smear testing. Paucibacillary leprosy encompasses indeterminate, borderline tuberculoid, and tuberculoid leprosy.
An erythematous eruption commonly associated with drug reactions or infection and characterized by inflammatory nodules that are usually tender, multiple, and bilateral. These nodules are located predominantly on the shins with less common occurrence on the thighs and forearms. They undergo characteristic color changes ending in temporary bruise-like areas. This condition usually subsides in 3-6 weeks without scarring or atrophy.
Lepromin is a sterile suspension of Mycobacterium leprae, utilized in intradermal tests to determine the type of immune response in leprosy patients, distinguishing between tuberculoid and lepromatous forms.
Burrowing, chiefly nocturnal mammals of the family Dasypodidae having bodies and heads encased in small bony plates. They are widely distributed in the warmer parts of the Americas.
A fat-soluble riminophenazine dye used for the treatment of leprosy. It has been used investigationally in combination with other antimycobacterial drugs to treat Mycobacterium avium infections in AIDS patients. Clofazimine also has a marked anti-inflammatory effect and is given to control the leprosy reaction, erythema nodosum leprosum. (From AMA Drug Evaluations Annual, 1993, p1619)
A sulfone active against a wide range of bacteria but mainly employed for its actions against MYCOBACTERIUM LEPRAE. Its mechanism of action is probably similar to that of the SULFONAMIDES which involves inhibition of folic acid synthesis in susceptible organisms. It is also used with PYRIMETHAMINE in the treatment of malaria. (From Martindale, The Extra Pharmacopoeia, 30th ed, p157-8)
A major deviation from normal patterns of behavior.
Tumors or cancer of the OVARY. These neoplasms can be benign or malignant. They are classified according to the tissue of origin, such as the surface EPITHELIUM, the stromal endocrine cells, and the totipotent GERM CELLS.
Substances elaborated by bacteria that have antigenic activity.
Any compound containing one or more monosaccharide residues bound by a glycosidic linkage to a hydrophobic moiety such as an acylglycerol (see GLYCERIDES), a sphingoid, a ceramide (CERAMIDES) (N-acylsphingoid) or a prenyl phosphate. (From IUPAC's webpage)
A cystic tumor of the ovary, containing thin, clear, yellow serous fluid and varying amounts of solid tissue, with a malignant potential several times greater than that of mucinous cystadenoma (CYSTADENOMA, MUCINOUS). It can be unilocular, parvilocular, or multilocular. It is often bilateral and papillary. The cysts may vary greatly in size. (Dorland, 27th ed; from Hughes, Obstetric-Gynecologic Terminology, 1972)
A general term indicating inflammation of a peripheral or cranial nerve. Clinical manifestation may include PAIN; PARESTHESIAS; PARESIS; or HYPESTHESIA.
A malignant cystic or semicystic neoplasm. It often occurs in the ovary and usually bilaterally. The external surface is usually covered with papillary excrescences. Microscopically, the papillary patterns are predominantly epithelial overgrowths with differentiated and undifferentiated papillary serous cystadenocarcinoma cells. Psammoma bodies may be present. The tumor generally adheres to surrounding structures and produces ascites. (From Hughes, Obstetric-Gynecologic Terminology, 1972, p185)
The outer covering of the body that protects it from the environment. It is composed of the DERMIS and the EPIDERMIS.
I'm sorry for any confusion, but "Brazil" is not a medical term or concept, it is a country located in South America, known officially as the Federative Republic of Brazil. If you have any questions related to health, medicine, or science, I'd be happy to help answer those!
The etiologic agent of rat leprosy, also known as murine leprosy.
Studies which start with the identification of persons with a disease of interest and a control (comparison, referent) group without the disease. The relationship of an attribute to the disease is examined by comparing diseased and non-diseased persons with regard to the frequency or levels of the attribute in each group.
Behavior in which persons hurt or harm themselves without the motive of suicide or of sexual deviation.
An adenocarcinoma producing mucin in significant amounts. (From Dorland, 27th ed)
Residential treatment centers for individuals with leprosy.
Immunoglobulins produced in a response to BACTERIAL ANTIGENS.
A republic of southeast Asia, northwest of Thailand, long familiar as Burma. Its capital is Yangon, formerly Rangoon. Inhabited by people of Mongolian stock and probably of Tibetan origin, by the 3d century A.D. it was settled by Hindus. The modern Burmese state was founded in the 18th century but was in conflict with the British during the 19th century. Made a crown colony of Great Britain in 1937, it was granted independence in 1947. In 1989 it became Myanmar. The name comes from myanma, meaning the strong, as applied to the Burmese people themselves. (From Webster's New Geographical Dictionary, 1988, p192 & Room, Brewer's Dictionary of Names, 1992, p367)
Removal and pathologic examination of specimens in the form of small pieces of tissue from the living body.

Antibodies to sulfatide in leprosy and leprosy reactions. (1/34)

Antibodies to sulfatide have been reported in various demyelinating peripheral polyneuropathies. We have investigated the diagnostic value of these antibodies in leprosy. Anti-sulfatide IgM in leprosy patients was not significantly elevated. High anti-sulfatide IgG titers were observed in individuals from endemic areas, irrespective of their leprosy status, while western European controls were negative. No significant correlation was found between IgM or IgG antibody titers and leprosy classification, although multibacillary patients had higher anti-sulfatide IgM titers than paucibacillary patients. In addition, 23 patients developing leprosy reactions were followed longitudinally. Antibody titers in these patients fluctuated slightly during the follow-up period. There was no association with the occurrence of leprosy reactions or treatment. Thus, IgG titers against sulfatides are high in both leprosy patients and healthy controls in endemic areas, whereas such antibodies are not found in western European controls, suggesting that these antibodies are induced by environmental factors, such as microorganisms.  (+info)

Production of transforming growth factor-beta 1 (TGF-beta1) by blood monocytes from patients with different clinical forms of leprosy. (2/34)

In the present study, the concentration of TGF-beta1 secreted by adherent cells isolated from human peripheral blood mononuclear cells (PBMC) and either stimulated with PGL-1 or lipopolysaccharide (LPS) or left unstimulated was determined by ELISA. The cells were isolated from untreated patients with different clinical forms of leprosy and healthy individuals. The adherent cells exhibited spontaneous release of TGF-beta1 in all clinical forms of leprosy and in healthy individuals; however, lepromatous leprosy/borderline leprosy (LL/BL) patients presenting erythema nodosum leprosum (ENL) displayed significantly higher concentrations of TGF-beta1 than either the other patients studied or the controls. These high TGF-beta1 levels were consistently observed when LL/BL ENL cells were stimulated with phenolic glycolipid (PGL-1) or LPS, and even in the absence of a stimulus (P < 0.01). The most significant differences in TGF-beta1 levels were observed when comparing the results in the presence of PGL-1 from ENL with, in order of significance: tuberculoid leprosy (TT) patients (P < 0.001), LL/BL patients without ENL (P < 0.01), healthy individuals (P < 0.01) and borderline-borderline/borderline-tuberculoid (BB/BT) patients with reversal reaction (RR) (P < 0.01). The BB/BT patients produced equivalent levels of TGF-beta1 compared with LL/BL patients without ENL, for all types of stimuli (P > 0.05). In contrast, TT patients produced the lowest levels of TGF-beta1 among all the subjects studied (both patients and healthy controls), especially following PGL-1 stimulation (P < 0.001, and P < 0.05, respectively). In conjunction with our previous data regarding TGF-beta1 expression in dermal lesions, it appears that TGF-beta1 probably plays different roles in leprosy: (i) to mediate a suppressive action locally, associated with the presence of PGL-1, and (ii) to induce proinflammatory effects when secreted systemically by monocytes, thereby acting as a modulatory cytokine in the acute inflammatory reactions of ENL and associated with the Th2 immune response in multibacillary forms of leprosy.  (+info)

Overexpression of vascular endothelial growth factor and its endothelial cell receptor KDR in type 1 leprosy reaction. (3/34)

The sites of expression of vascular endothelial growth factor (VEGF) and of KDR, its endothelial cell receptor, were investigated in leprosy reaction Type 1, or reversal reaction (RR), by immunohistochemistry and in situ hybridization. In comparison with nonreactional leprosy, overexpression of both VEGF and KDR was seen in granuloma cells, especially epithelioid and foreign body-type giant cells, the epithelium and the vascular endothelium of RR specimens. In granuloma cells, hybridization for VEGF was stronger than immunostaining, a finding that may reflect the rapid turnover of VEGF in an immunologically dynamic situation such as RR. In the epidermis, double immunohistochemistry revealed VEGF overexpression in CDla-positive dendritic cells. The VEGF may not only be relevant for hyperpermeability and mononuclear cell differentiation (the key morphologic features in the acute, clinically evident phase of RR), but it could also be implicated in RR onset, when dendritic cells are activated in response to antigen stimulation.  (+info)

The detection of Mycobacterium leprae protein and carbohydrate antigens in skin and nerve from leprosy patients with type 1 (reversal) reactions. (4/34)

Type 1 (reversal) reactions are the most common immunological complications of leprosy. These episodes of delayed hypersensitivity produce severe local immunopathology and ultimately nerve damage. To date, the Mycobacterium leprae antigens associated with type 1 reactions have not been identified. Using monoclonal antibodies to defined protein and carbohydrate M. leprae epitopes (65, 35 and 28 kd and lipoarabinomannan [LAM]) in a two-step immunoperoxidase staining technique, M. leprae antigens were demonstrated in skin and nerve biopsies from patients in reversal reaction. Antigen presence and staining patterns were similar in skin and nerve lesions, implying that the pathological processes are similar in the two sites. Antigens were present both in macrophages and Schwann cells but also as a diffuse extracellular infiltrate associated with the inflammatory infiltrate. The 28-kd antigen was present most strongly and may be a potential candidate antigen for initiating type 1 reactions. LAM also stained strongly and persisted after treatment. The possible roles of LAM and 65 kd in the cellular events of type 1 reactions are discussed.  (+info)

Ocular complications in newly diagnosed borderline lepromatous and lepromatous leprosy patients: baseline profile of the Indian cohort. (5/34)

AIM: To describe ocular manifestations in newly diagnosed borderline lepromatous (BL) and lepromatous leprosy (LL) patients in India. METHODS: Ocular complications, at enrolment, occurring in all new borderline lepromatous and lepromatous leprosy patients detected by active case finding within the geographically defined leprosy endemic area of the Gudiyattam Taluk in India from 1991 to 1997 who consented to ocular examinations every 6 months, during and 5 years after treatment with multidrug therapy (MDT), were studied. RESULTS: Orbicularis oculi weakness (4.62%), lagophthalmos (4.20%), ectropion (0.42%), trichiasis (0.84%), blocked nasolacrimal ducts (1.68%), pterygium (11.34%), impaired corneal sensation (53%), corneal opacity (10.5%), corneal nerve beading (1.68%), punctate keratitis (1.26%), keratic precipitates (4.62%), iris atrophy (1.68%), and cataract (12.6%) were ocular complications seen in the 301 lepromatous patients at enrolment. 4.6% had blind eyes. Increasing age was associated with ocular complications. 80% of patients were skin smear acid fast bacilli (AFB) positive. The LL/BL ratio was 1:6.4. 71% had some limb deformity. 44% had only leprosy related ocular complications (LROC), 28% had only general ocular complications (GOC) while 14% had both LROC and GOC. Ocular complications were significantly related to leg deformities. Corneal nerve beading was seen most in LL patients (100%) having high bacterial content. Lagophthalmos and muscle weakness were associated with reversal reactions. CONCLUSIONS: Corneal nerve beading occurs in LL patients with high bacillary count. Patients with reversal reaction are more likely to present with orbicularis oculi weakness and lagophthalmos. Leprosy related ocular complications and general ocular complications are significant problems in newly diagnosed lepromatous patients. Elderly, deformed, skin smear positive, lepromatous patients are associated with increased ocular morbidity and form a group that require acceptable and accessible eye care.  (+info)

Leprosy affects facial nerves in a scattered distribution from the main trunk to all peripheral branches and neurolysis improves muscle function of the face. (6/34)

Current literature rejects nerve release in leprous facial neuropathy and states that lesions are restricted to the peripheral zygomatic branches. Since there are approximately 500,000 patients with this disease throughout the world, we wanted to clarify the precise location of facial nerve's affection and the benefit of neurolysis. Our study showed that in patients with leprosy, the facial nerve's main trunk, the peripheral zygomatic branches, and all other branches were affected. Follow-up showed improvement in lagophthalmos and in misreinnervation, with no improvement in the control cohort. Nerve release improves muscle function in leprous facial neuropathy, provided surgery is performed on all affected segments. Intraoperative electroneurodiagnostics is an effective tool for detecting the most proximal site of lesion and ensuring effective surgery.  (+info)

Mast cell subsets and neuropeptides in leprosy reactions. (7/34)

The immunohistochemical identification of neuropeptides (calcitonin gene-related peptide, vasoactive intestinal polypeptide, substance P, alpha-melanocyte stimulating hormone and gamma-melanocyte stimulating hormone) quantification of mast cells and their subsets (tryptase/chymase-immunoreactive mast cells = TCMC and tryptase-immunoreactive mast cells = TMC) were determined in biopsies of six patients with leprosy reactions (three patients with type I reaction and three with type II). Biopsies were compared with those taken from the same body site in the remission stage of the same patient. We found a relative increase of TMC in the inflammatory infiltrate of the reactional biopsies compared to the post-reactional biopsy. Also, the total number of mast cells and the TMC/TCMC ratio in the inflammatory infiltrate was significantly higher than in the intervening dermis of the biopsies of both periods. No significant difference was found regarding neuroptide expression in the reactional and post-reactional biopsies. The relative increase of TMC in the reactional infiltrates could implicate this mast cell subset in the reported increase of the immune response in leprosy reactions.  (+info)

Novel responses of human skin to intradermal recombinant granulocyte/macrophage-colony-stimulating factor: Langerhans cell recruitment, keratinocyte growth, and enhanced wound healing. (8/34)

Recombinant granulocyte/macrophage-colony-stimulating factor (rGM-CSF), prepared from Chinese hamster ovary (CHO) cells and Escherichia coli, was administered to 35 patients with the borderline and polar lepromatous forms of leprosy by the intradermal and subcutaneous routes at doses of 7.5-45.0 micrograms/d for 10 d. With each of these doses and routes, increases in the number of circulating eosinophils were noted. After the intradermal injection, the local skin sites demonstrated zones of roughening and micronodularity that appeared within 24-48 h and persisted for more than 6 d. Reinjection of sites led to enhanced areas of epidermal reaction. GM-CSF prepared from CHO cells was a more potent inducer of this effect. GM-CSF given by the subcutaneous route, at higher doses, failed to initiate these changes. At the microscopic level, the epidermis became thickened (+75%) with increased numbers and layers of enlarged keratinocytes. These contained increased numbers of ribosomes and prominent nucleoli, and were imbedded in a looser meshwork of the zona Pellucida. The modified keratinocytes remained MHC class II antigen negative throughout the course of the response. A major change in the dermis was the progressive accumulation of CD1+, Birbeck granule-positive cells. These Langerhans were recognizable at 48 h after intradermal injection and reached maximum numbers by 4 d. During this period the number of epidermal Langerhans cells remained relatively constant. No increment in dermal Langerhans cells occurred when GLM-CSF was injected by the subcutaneous route. No appreciable increase in the numbers of T cells and monocytes was noted, and granulocytes and eosinophils were largely present within the dermal microvasculature. 4-mm punch biopsies taken from injected sites and adjacent controls were compared in terms of the rapidity of wound healing. 22 of 26 sites demonstrated more rapid filling and hemostasis, whereas four were equivalent to controls. We conclude that rGM-CSF, when introduced into the skin, leads to enhanced keratinocyte growth, the selective recruitment of Langerhans cells into the dermis, and enhanced wound healing of the prepared site. There was no evidence of an enhanced cell-mediated response to Mycobacterium leprae, and bacillary numbers remained unchanged.  (+info)

Leprosy, also known as Hansen's disease, is a chronic infectious disease caused by the bacterium Mycobacterium leprae. It primarily affects the skin, peripheral nerves, mucosal surfaces of the upper respiratory tract, and the eyes. The disease mainly spreads through droplets from the nose and mouth of infected people.

Leprosy is characterized by granulomatous inflammation, which leads to the formation of distinctive skin lesions and nerve damage. If left untreated, it can cause progressive and permanent damage to the skin, nerves, limbs, and eyes. However, with early diagnosis and multidrug therapy (MDT), the disease can be cured, and disability can be prevented or limited.

The World Health Organization (WHO) classifies leprosy into two types based on the number of skin lesions and bacteriological index: paucibacillary (one to five lesions) and multibacillary (more than five lesions). This classification helps determine the appropriate treatment regimen.

Although leprosy is curable, it remains a public health concern in many developing countries due to its stigmatizing nature and potential for social exclusion of affected individuals.

Lepromatous leprosy is a type of leprosy, a chronic infectious disease caused by the bacterium Mycobacterium leprae. In this form of the disease, there is a widespread and diffuse involvement of the skin, mucous membranes, and peripheral nerves. The bacteria multiply slowly and spread to the skin, upper respiratory tract, and peripheral nerves.

In lepromatous leprosy, the immune response is weak, allowing for extensive bacterial multiplication and widespread tissue damage. The skin lesions are typically numerous, pale, and have a smooth surface. Nerve involvement can lead to loss of sensation, muscle weakness, and deformities, particularly in the hands and feet.

Lepromatous leprosy is a more severe form of the disease compared to tuberculoid leprosy, which has a stronger immune response and localized skin lesions. Both forms of the disease are treatable with multidrug therapy (MDT), recommended by the World Health Organization (WHO) for all leprosy patients. Early diagnosis and treatment can prevent disability and reduce transmission.

Tuberculoid leprosy is a form of leprosy caused by the bacterium Mycobacterium leprae. It is one of the two major forms of the disease, with the other being lepromatous leprosy.

Tuberculoid leprosy typically presents with fewer lesions (generally less than five) that are well-defined, asymmetric, and dry. The lesions can be hypopigmented or erythematous and may have a raised border. Nerve involvement is common in tuberculoid leprosy, leading to symptoms such as numbness, muscle weakness, and paralysis.

The disease primarily affects the skin, peripheral nerves, and mucosa of the upper respiratory tract. Tuberculoid leprosy is characterized by a strong cell-mediated immune response, which can lead to the destruction of mycobacteria but may also cause tissue damage. It is generally a milder form of the disease compared to lepromatous leprosy and responds well to treatment with multidrug therapy (MDT).

"Borderline leprosy," also known as "borderline tuberculoid leprosy (BT)," is a type of leprosy that falls in the middle of the clinical spectrum of the disease. It has features of both tuberculoid and lepromatous leprosy, but they are not well-defined. The immune response in borderline leprosy is unstable, which means that the condition can either improve or deteriorate over time.

In borderline leprosy, there are usually a few well-defined lesions with some sensory loss. The bacteria are present in the skin and nerves, but they have not yet caused extensive damage. Treatment for borderline leprosy is similar to that of other forms of leprosy, which typically involves multidrug therapy (MDT) recommended by the World Health Organization (WHO).

It's important to note that leprosy is a curable disease, and early diagnosis and treatment can prevent complications and reduce transmission.

Borderline Personality Disorder (BPD) is a mental health disorder characterized by a pervasive pattern of instability in interpersonal relationships, self-image, affect, and mood, as well as marked impulsivity that begins by early adulthood and is present in various contexts.

Individuals with BPD often experience intense and fluctuating emotions, ranging from profound sadness, anxiety, and anger to feelings of happiness or calm. They may have difficulty managing these emotions, leading to impulsive behavior, self-harm, or suicidal ideation.

People with BPD also tend to have an unstable sense of self, which can lead to rapid changes in their goals, values, and career choices. They often struggle with feelings of emptiness and boredom, and may engage in risky behaviors such as substance abuse, reckless driving, or binge eating to alleviate these feelings.

Interpersonal relationships are often strained due to the individual's fear of abandonment, intense emotional reactions, and difficulty regulating their emotions. They may experience idealization and devaluation of others, leading to rapid shifts in how they view and treat people close to them.

Diagnosis of BPD is typically made by a mental health professional using criteria outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which is published by the American Psychiatric Association. Treatment for BPD may include psychotherapy, medication, and support groups to help individuals manage their symptoms and improve their quality of life.

"Mycobacterium leprae" is a slow-growing, rod-shaped, gram-positive bacterium that is the causative agent of leprosy, a chronic infectious disease that primarily affects the skin, peripheral nerves, and mucosal surfaces of the upper respiratory tract. The bacterium was discovered in 1873 by Gerhard Armauer Hansen, a Norwegian physician, and is named after him as "Hansen's bacillus."

"Mycobacterium leprae" has a unique cell wall that contains high amounts of lipids, which makes it resistant to many common disinfectants and antibiotics. It can survive and multiply within host macrophages, allowing it to evade the immune system and establish a chronic infection.

Leprosy is a treatable disease with multidrug therapy (MDT), which combines several antibiotics such as dapsone, rifampicin, and clofazimine. Early diagnosis and treatment can prevent the progression of the disease and reduce its transmission to others.

Multibacillary (MB) leprosy, also known as lepromatous leprosy, is a type of leprosy that is characterized by the widespread dissemination of the bacterium Mycobacterium leprae throughout the body. It is one of two major forms of leprosy, with the other being paucibacillary (PB) leprosy.

In MB leprosy, there are typically numerous skin lesions that may be widespread and often have a symmetrical distribution. The lesions can appear as nodules, plaques, or macules and can be hypopigmented or erythematous. They may also have a characteristic appearance with loss of sensation due to nerve damage.

MB leprosy is characterized by the presence of large numbers of bacilli in the skin lesions and nasal mucosa, as well as involvement of multiple nerves leading to deformities and disabilities if left untreated. The diagnosis of MB leprosy is usually made based on clinical examination, skin smears, and/or biopsy.

MB leprosy is treated with a multidrug therapy (MDT) regimen recommended by the World Health Organization (WHO), which includes rifampicin, dapsone, and clofazimine for at least 12 months. Early diagnosis and treatment of MB leprosy can prevent disability and reduce transmission.

Leprosstatic agents are substances or drugs that have a specific effect on the bacterium that causes leprosy, also known as Mycobacterium leprae. These agents are used in the treatment and prevention of leprosy, a chronic infectious disease that primarily affects the skin, peripheral nerves, and mucosal surfaces of the upper respiratory tract.

The most common leprostatic agents are antibiotics, which target the bacterial cells and inhibit their growth or kill them. The two main antibiotics used to treat leprosy are dapsone and rifampicin, which are often given in combination with other drugs such as clofazimine to prevent the development of drug-resistant strains of the bacteria.

Leprosstatic agents are usually administered orally or by injection, and the duration of treatment can vary depending on the severity of the disease and the patient's response to therapy. It is important to note that early detection and treatment of leprosy can help prevent the progression of the disease and reduce the risk of transmission to others.

Paucibacillary leprosy is a type of leprosy that is characterized by the presence of fewer than 5 skin lesions and no bacterial growth in slit skin smears or biopsies. It is also known as tuberculoid leprosy and is caused by the Mycobacterium leprae bacteria. The condition primarily affects the nerves and skin, leading to numbness, muscle weakness, and disfigurement if left untreated. Paucibacillary leprosy tends to have a better prognosis compared to multibacillary leprosy, which is characterized by more numerous skin lesions and bacterial growth.

Erythema nodosum is a type of inflammation that occurs in the fatty layer of the skin, causing painful, red or purple bumps (nodules) to form. It is a type of panniculitis, which refers to any condition that causes inflammation of the fatty layer of tissue beneath the skin.

Erythema nodosum is often associated with a variety of underlying conditions, such as infections (e.g., streptococcus, tuberculosis), medications (e.g., sulfa drugs, oral contraceptives), inflammatory bowel disease (e.g., Crohn's disease, ulcerative colitis), and pregnancy.

The bumps associated with erythema nodosum typically appear on the shins, ankles, knees, or other areas of the legs, although they can also occur on the arms, hands, or face. The bumps may be tender to the touch, warm, and swollen, and they may cause pain or discomfort when walking or standing for prolonged periods.

In most cases, erythema nodosum resolves on its own within a few weeks to several months, although symptoms can be managed with medications such as nonsteroidal anti-inflammatory drugs (NSAIDs) and corticosteroids. Treating the underlying condition is also important for resolving erythema nodosum and preventing recurrences.

Lepromin is not a medical condition but rather a diagnostic test used in the diagnosis and classification of leprosy, a chronic infectious disease caused by the bacterium Mycobacterium leprae. The Lepromin test measures the cell-mediated immunity of an individual to the bacteria that causes leprosy.

The test involves injecting two types of antigens derived from M. leprae, one more soluble and the other less soluble, into the skin of the forearm. The response of the immune system to these antigens is then observed after 24 hours (for the soluble antigen) and 48 hours (for the less soluble antigen).

A positive reaction to the more soluble antigen indicates a strong cell-mediated immunity, which is associated with tuberculoid leprosy, a milder form of the disease. A positive reaction to the less soluble antigen suggests a weaker cell-mediated immunity and is associated with lepromatous leprosy, a more severe form of the disease.

It's important to note that the Lepromin test has limited availability and is not widely used in many parts of the world due to its complexity and the need for specialized laboratory facilities.

An armadillo is not a medical condition or term. It is a type of mammal that is native to the Americas, known for its distinctive armor-like shell. If you have any questions about a specific medical condition or topic, I would be happy to help if you could provide more information.

Clofazimine is an antimycobacterial medication used mainly in the treatment of leprosy (Hansen's disease) and also has some activity against Mycobacterium avium complex (MAC) infections. It is an oral riminophenazine dye that accumulates in macrophages and bacterial cells, where it inhibits mycobacterial DNA-dependent RNA polymerase. Its side effects include skin discoloration, gastrointestinal symptoms, and potential eye toxicity.

Dapsone is a medication that belongs to a class of drugs called sulfones. It is primarily used to treat bacterial skin infections such as leprosy and dermatitis herpetiformis (a skin condition associated with coeliac disease). Dapsone works by killing the bacteria responsible for these infections.

In addition, dapsone has anti-inflammatory properties and is sometimes used off-label to manage inflammatory conditions such as vasculitis, bullous pemphigoid, and chronic urticaria. It is available in oral tablet form and topical cream or gel form.

Like all medications, dapsone can cause side effects, which may include nausea, loss of appetite, and headache. More serious side effects, such as methemoglobinemia (a blood disorder that affects the body's ability to transport oxygen), peripheral neuropathy (nerve damage that causes pain, numbness, or weakness in the hands and feet), and liver damage, can occur but are less common.

It is important for patients taking dapsone to be monitored by a healthcare provider to ensure safe and effective use of the medication.

Personality disorders are a class of mental health conditions characterized by deeply ingrained, inflexible patterns of thinking, feeling, and behaving that deviate significantly from the norms of their culture. These patterns often lead to distress for the individual and/or impairments in personal relationships, work, or social functioning.

The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), identifies ten specific personality disorders, which are grouped into three clusters based on descriptive similarities:

1. Cluster A (Odd or Eccentric) - characterized by odd, eccentric, or unusual behaviors:
* Paranoid Personality Disorder
* Schizoid Personality Disorder
* Schizotypal Personality Disorder
2. Cluster B (Dramatic, Emotional, or Erratic) - marked by dramatic, emotional, or erratic behaviors:
* Antisocial Personality Disorder
* Borderline Personality Disorder
* Histrionic Personality Disorder
* Narcissistic Personality Disorder
3. Cluster C (Anxious or Fearful) - featuring anxious, fearful behaviors:
* Avoidant Personality Disorder
* Dependent Personality Disorder
* Obsessive-Compulsive Personality Disorder

It is important to note that personality disorders can be challenging to diagnose and treat. They often require comprehensive assessments by mental health professionals, such as psychologists or psychiatrists, who specialize in personality disorders. Effective treatments typically involve long-term, specialized psychotherapies, with some cases potentially benefiting from medication management for co-occurring symptoms like anxiety or depression.

Ovarian neoplasms refer to abnormal growths or tumors in the ovary, which can be benign (non-cancerous) or malignant (cancerous). These growths can originate from various cell types within the ovary, including epithelial cells, germ cells, and stromal cells. Ovarian neoplasms are often classified based on their cell type of origin, histological features, and potential for invasive or metastatic behavior.

Epithelial ovarian neoplasms are the most common type and can be further categorized into several subtypes, such as serous, mucinous, endometrioid, clear cell, and Brenner tumors. Some of these epithelial tumors have a higher risk of becoming malignant and spreading to other parts of the body.

Germ cell ovarian neoplasms arise from the cells that give rise to eggs (oocytes) and can include teratomas, dysgerminomas, yolk sac tumors, and embryonal carcinomas. Stromal ovarian neoplasms develop from the connective tissue cells supporting the ovary and can include granulosa cell tumors, thecomas, and fibromas.

It is essential to diagnose and treat ovarian neoplasms promptly, as some malignant forms can be aggressive and potentially life-threatening if not managed appropriately. Regular gynecological exams, imaging studies, and tumor marker tests are often used for early detection and monitoring of ovarian neoplasms. Treatment options may include surgery, chemotherapy, or radiation therapy, depending on the type, stage, and patient's overall health condition.

Bacterial antigens are substances found on the surface or produced by bacteria that can stimulate an immune response in a host organism. These antigens can be proteins, polysaccharides, teichoic acids, lipopolysaccharides, or other molecules that are recognized as foreign by the host's immune system.

When a bacterial antigen is encountered by the host's immune system, it triggers a series of responses aimed at eliminating the bacteria and preventing infection. The host's immune system recognizes the antigen as foreign through the use of specialized receptors called pattern recognition receptors (PRRs), which are found on various immune cells such as macrophages, dendritic cells, and neutrophils.

Once a bacterial antigen is recognized by the host's immune system, it can stimulate both the innate and adaptive immune responses. The innate immune response involves the activation of inflammatory pathways, the recruitment of immune cells to the site of infection, and the production of antimicrobial peptides.

The adaptive immune response, on the other hand, involves the activation of T cells and B cells, which are specific to the bacterial antigen. These cells can recognize and remember the antigen, allowing for a more rapid and effective response upon subsequent exposures.

Bacterial antigens are important in the development of vaccines, as they can be used to stimulate an immune response without causing disease. By identifying specific bacterial antigens that are associated with virulence or pathogenicity, researchers can develop vaccines that target these antigens and provide protection against infection.

Glycolipids are a type of lipid (fat) molecule that contain one or more sugar molecules attached to them. They are important components of cell membranes, where they play a role in cell recognition and signaling. Glycolipids are also found on the surface of some viruses and bacteria, where they can be recognized by the immune system as foreign invaders.

There are several different types of glycolipids, including cerebrosides, gangliosides, and globosides. These molecules differ in the number and type of sugar molecules they contain, as well as the structure of their lipid tails. Glycolipids are synthesized in the endoplasmic reticulum and Golgi apparatus of cells, and they are transported to the cell membrane through vesicles.

Abnormalities in glycolipid metabolism or structure have been implicated in a number of diseases, including certain types of cancer, neurological disorders, and autoimmune diseases. For example, mutations in genes involved in the synthesis of glycolipids can lead to conditions such as Tay-Sachs disease and Gaucher's disease, which are characterized by the accumulation of abnormal glycolipids in cells.

A serous cystadenoma is a type of benign tumor that arises from the epithelial cells lining the serous glands, which are glands that produce a watery, lubricating fluid. This type of tumor typically develops in the ovary or the pancreas.

Serous cystadenomas of the ovary are usually filled with a clear, watery fluid and have multiple loculations (compartments). They can vary in size from a few millimeters to several centimeters in diameter. Although these tumors are benign, they can cause symptoms if they become large enough to press on surrounding organs or if they rupture and release their contents into the abdominal cavity.

Serous cystadenomas of the pancreas are less common than ovarian serous cystadenomas. They typically occur in the tail of the pancreas and can range in size from a few millimeters to several centimeters in diameter. These tumors are usually asymptomatic, but they can cause symptoms such as abdominal pain or discomfort if they become large enough to press on surrounding organs.

It is important to note that while serous cystadenomas are generally benign, there is a small risk that they may undergo malignant transformation and develop into a type of cancer known as a serous cystadenocarcinoma. For this reason, it is important for patients with these tumors to be followed closely by a healthcare provider and to have regular imaging studies and/or surgical excision to monitor for any changes in the tumor.

Neuritis is a general term that refers to inflammation of a nerve or nerves, often causing pain, loss of function, and/or sensory changes. It can affect any part of the nervous system, including the peripheral nerves (those outside the brain and spinal cord) or the cranial nerves (those that serve the head and neck). Neuritis may result from various causes, such as infections, autoimmune disorders, trauma, toxins, or metabolic conditions. The specific symptoms and treatment depend on the underlying cause and the affected nerve(s).

Cystadenocarcinoma, serous is a type of cystic tumor that arises from the lining of the abdominal or pelvic cavity (the peritoneum). It is called "serous" because the tumor cells produce a thin, watery fluid similar to serum.

Cystadenocarcinoma is a malignant (cancerous) tumor that can invade surrounding tissues and spread (metastasize) to other parts of the body. It typically affects women over the age of 50 and can cause symptoms such as abdominal pain, bloating, and changes in bowel or bladder habits.

Serous cystadenocarcinoma is a subtype of ovarian cancer that arises from the surface of the ovary. It can also occur in other organs, including the fallopian tubes, peritoneum, and endometrium. This type of tumor tends to grow slowly but can spread widely throughout the abdominal cavity, making it difficult to treat.

Treatment for serous cystadenocarcinoma typically involves surgery to remove the tumor and any affected tissues, followed by chemotherapy to kill any remaining cancer cells. The prognosis for this type of cancer depends on several factors, including the stage of the disease at diagnosis, the patient's age and overall health, and the response to treatment.

In medical terms, the skin is the largest organ of the human body. It consists of two main layers: the epidermis (outer layer) and dermis (inner layer), as well as accessory structures like hair follicles, sweat glands, and oil glands. The skin plays a crucial role in protecting us from external factors such as bacteria, viruses, and environmental hazards, while also regulating body temperature and enabling the sense of touch.

I apologize, but "Brazil" is not a medical term or condition. It is the largest country in both South America and Latin America by land area and population. If you have any questions related to medical terminology or health concerns, please provide more information and I will do my best to help.

'Mycobacterium lepraemurium' is not typically associated with human leprosy or any medical conditions affecting humans. It is a species of mycobacteria that primarily infects rodents, particularly mice and rats. This bacterium is the causative agent of a form of leprosy-like disease in these animals, known as murine leprosy.

Human infections with 'Mycobacterium lepraemurium' are extremely rare and have only been reported in a handful of cases worldwide. When they do occur, they usually result from close contact with infected rodents or their excrement. The disease caused by this bacterium in humans is typically milder than human leprosy and often resolves on its own without specific treatment.

Therefore, 'Mycobacterium lepraemurium' should not be confused with the mycobacterial species that cause leprosy in humans, such as 'Mycobacterium leprae' or 'Mycobacterium lepromatosis'.

A case-control study is an observational research design used to identify risk factors or causes of a disease or health outcome. In this type of study, individuals with the disease or condition (cases) are compared with similar individuals who do not have the disease or condition (controls). The exposure history or other characteristics of interest are then compared between the two groups to determine if there is an association between the exposure and the disease.

Case-control studies are often used when it is not feasible or ethical to conduct a randomized controlled trial, as they can provide valuable insights into potential causes of diseases or health outcomes in a relatively short period of time and at a lower cost than other study designs. However, because case-control studies rely on retrospective data collection, they are subject to biases such as recall bias and selection bias, which can affect the validity of the results. Therefore, it is important to carefully design and conduct case-control studies to minimize these potential sources of bias.

Self-injurious behavior (SIB) refers to the intentional, direct injuring of one's own body without suicidal intentions. It is often repetitive and can take various forms such as cutting, burning, scratching, hitting, or bruising the skin. In some cases, individuals may also ingest harmful substances or objects.

SIB is not a mental disorder itself, but it is often associated with various psychiatric conditions, including borderline personality disorder, depression, anxiety disorders, post-traumatic stress disorder, and eating disorders. It is also common in individuals with developmental disabilities, such as autism spectrum disorder.

The function of SIB can vary widely among individuals, but it often serves as a coping mechanism to deal with emotional distress, negative feelings, or traumatic experiences. It's essential to approach individuals who engage in SIB with compassion and understanding, focusing on treating the underlying causes rather than solely addressing the behavior itself. Professional mental health treatment and therapy can help individuals develop healthier coping strategies and improve their quality of life.

Adenocarcinoma, mucinous is a type of cancer that begins in the glandular cells that line certain organs and produce mucin, a substance that lubricates and protects tissues. This type of cancer is characterized by the presence of abundant pools of mucin within the tumor. It typically develops in organs such as the colon, rectum, lungs, pancreas, and ovaries.

Mucinous adenocarcinomas tend to have a distinct appearance under the microscope, with large pools of mucin pushing aside the cancer cells. They may also have a different clinical behavior compared to other types of adenocarcinomas, such as being more aggressive or having a worse prognosis in some cases.

It is important to note that while a diagnosis of adenocarcinoma, mucinous can be serious, the prognosis and treatment options may vary depending on several factors, including the location of the cancer, the stage at which it was diagnosed, and the individual's overall health.

'Leper Colonies' are not a medical term per se, but rather a historical and sociological concept. They refer to communities that were established in many parts of the world, especially in the past, to isolate and care for individuals affected by leprosy or Hansen's disease. The intention was often to prevent the spread of the disease, which was not well understood at the time, and to provide a place for those afflicted to live. However, these colonies often led to social stigma, discrimination, and isolation of the individuals living there. It is important to note that leprosy is now well-controlled with multidrug therapy, and it is not as easily transmitted or as devastating a disease as it once was. The World Health Organization recommends that people affected by leprosy be treated in regular health facilities within their own communities to avoid stigma and promote early detection and treatment.

Bacterial antibodies are a type of antibodies produced by the immune system in response to an infection caused by bacteria. These antibodies are proteins that recognize and bind to specific antigens on the surface of the bacterial cells, marking them for destruction by other immune cells. Bacterial antibodies can be classified into several types based on their structure and function, including IgG, IgM, IgA, and IgE. They play a crucial role in the body's defense against bacterial infections and provide immunity to future infections with the same bacteria.

I'm sorry for any confusion, but "Myanmar" is not a medical term or condition. It is the name of a country in Southeast Asia, also known as Burma. If you have any questions about medical conditions or terminology, I would be happy to help clarify those for you.

A biopsy is a medical procedure in which a small sample of tissue is taken from the body to be examined under a microscope for the presence of disease. This can help doctors diagnose and monitor various medical conditions, such as cancer, infections, or autoimmune disorders. The type of biopsy performed will depend on the location and nature of the suspected condition. Some common types of biopsies include:

1. Incisional biopsy: In this procedure, a surgeon removes a piece of tissue from an abnormal area using a scalpel or other surgical instrument. This type of biopsy is often used when the lesion is too large to be removed entirely during the initial biopsy.

2. Excisional biopsy: An excisional biopsy involves removing the entire abnormal area, along with a margin of healthy tissue surrounding it. This technique is typically employed for smaller lesions or when cancer is suspected.

3. Needle biopsy: A needle biopsy uses a thin, hollow needle to extract cells or fluid from the body. There are two main types of needle biopsies: fine-needle aspiration (FNA) and core needle biopsy. FNA extracts loose cells, while a core needle biopsy removes a small piece of tissue.

4. Punch biopsy: In a punch biopsy, a round, sharp tool is used to remove a small cylindrical sample of skin tissue. This type of biopsy is often used for evaluating rashes or other skin abnormalities.

5. Shave biopsy: During a shave biopsy, a thin slice of tissue is removed from the surface of the skin using a sharp razor-like instrument. This technique is typically used for superficial lesions or growths on the skin.

After the biopsy sample has been collected, it is sent to a laboratory where a pathologist will examine the tissue under a microscope and provide a diagnosis based on their findings. The results of the biopsy can help guide further treatment decisions and determine the best course of action for managing the patient's condition.

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