{"id":505,"date":"2016-09-20T19:13:14","date_gmt":"2016-09-20T22:13:14","guid":{"rendered":"https:\/\/investigacaoemdermatologia.com.br\/new\/?p=505"},"modified":"2016-09-20T19:13:14","modified_gmt":"2016-09-20T22:13:14","slug":"type-2-leprosy-reaction-with-sweets-syndrome-like-presentation","status":"publish","type":"post","link":"https:\/\/investigacaoemdermatologia.com.br\/?p=505","title":{"rendered":"Type 2 leprosy reaction with Sweet&#8217;s syndrome-like presentation."},"content":{"rendered":"<p><strong>Autores:\u00a0<\/strong>Chiaratti FC<sup>1<\/sup>, Daxbacher EL<sup>1<\/sup>, Neumann AB<sup>1<\/sup>, Jeunon T<sup>1<\/p>\n<p><\/sup><sup>1<\/sup>Hospital Federal de Bonsucesso (HFB) &#8211; Rio de Janeiro (RJ), Brazil<\/p>\n<p>Leprosy is a chronic disease characterized by manifestations in the peripheral nerves and skin. The course of the disease may be interrupted by acute phenomena called reactions. This article reports a peculiar case of type 2 leprosy reaction with Sweet&#8217;s syndrome-like features as the first clinical manifestation of leprosy, resulting in a delay in the diagnosis due to unusual clinical presentation. The patient had clinical and histopathological features reminiscent of Sweet&#8217;s syndrome associated with clusters of vacuolated histiocytes containing acid-fast bacilli isolated or forming globi. Herein, it is discussed how to recognize type 2 leprosy reaction with Sweet&#8217;s syndrome features, the differential diagnosis with type 1 leprosy reaction and the treatment options. When this kind of reaction is the first clinical presentation of leprosy, the correct diagnosis might be not suspected clinically, and established only with histopathologic evaluation.<\/p>\n<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/27438203\" class=\"su-button su-button-style-flat\" style=\"color:#FFFFFF;background-color:#AB2941;border-color:#892134;border-radius:5px\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"color:#FFFFFF;padding:0px 16px;font-size:13px;line-height:26px;border-color:#c56a7a;border-radius:5px;text-shadow:none\"> Veja a publica\u00e7\u00e3o<\/span><\/a>\n<p><sup>\u00a0<\/sup><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Autores:\u00a0Chiaratti FC1, Daxbacher EL1, Neumann AB1, Jeunon T1 1Hospital Federal de Bonsucesso (HFB) &#8211; Rio de Janeiro (RJ), Brazil Leprosy is a chronic disease characterized by manifestations in the peripheral nerves and skin. The course of the disease may be interrupted by acute phenomena called reactions. This article reports a peculiar case of type 2 &hellip; <a href=\"https:\/\/investigacaoemdermatologia.com.br\/?p=505\" class=\"more-link\">Continue lendo <i class=\"fa fa-arrow-circle-o-right\"><\/i><\/a><\/p>\n","protected":false},"author":5,"featured_media":508,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3],"tags":[],"class_list":["post-505","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-publicacoes"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Type 2 leprosy reaction with Sweet&#039;s syndrome-like presentation. - Investiga\u00e7\u00e3o em Dermatologia<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/investigacaoemdermatologia.com.br\/?p=505\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Joaquim Jeunon\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. tempo de leitura\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minuto\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/investigacaoemdermatologia.com.br\\\/?p=505#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/investigacaoemdermatologia.com.br\\\/?p=505\"},\"author\":{\"name\":\"Joaquim Jeunon\",\"@id\":\"https:\\\/\\\/investigacaoemdermatologia.com.br\\\/#\\\/schema\\\/person\\\/55987b91349c9a519430fca2aa358f1b\"},\"headline\":\"Type 2 leprosy reaction with Sweet&#8217;s syndrome-like presentation.\",\"datePublished\":\"2016-09-20T22:13:14+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/investigacaoemdermatologia.com.br\\\/?p=505\"},\"wordCount\":188,\"commentCount\":0,\"image\":{\"@id\":\"https:\\\/\\\/investigacaoemdermatologia.com.br\\\/?p=505#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/investigacaoemdermatologia.com.br\\\/wp-content\\\/uploads\\\/2016\\\/09\\\/91-03.png\",\"articleSection\":[\"Publica\u00e7\u00f5es\"],\"inLanguage\":\"pt-BR\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/investigacaoemdermatologia.com.br\\\/?p=505#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/investigacaoemdermatologia.com.br\\\/?p=505\",\"url\":\"https:\\\/\\\/investigacaoemdermatologia.com.br\\\/?p=505\",\"name\":\"Type 2 leprosy reaction with Sweet's syndrome-like presentation. - 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