A case report of leprosy reaction combined with bullous pemphigoid after treatment of paucibacillary leprosy

Abstract

ObjectiveTo investigate the clinical characteristics of leprosy-related neuritis with bullous pemphigoid after treatment of paucibacillary leprosy.MethodsThe treatment of leprosy reaction combined with bullous pemphigoid of a cured case of leprosy was analysed.ResultsFive years after standard treatment for leprosy， erythema and vesicles appeared in the limbs without obvious inducement， and the disease became more and more severe. With clinical diagnosis and pathological examination， pemphigoid was confirmed， and the patients were given hormone treatment for leprosy reaction and anti-immunotherapy， as well as symptomatic supportive treatment.ConclusionLeprosy reaction and pemphigoid are both related to immunity， but the occurrence of both at the same time is relatively rare， so in the clinical process we should attach great importance to early detection， early diagnosis and prompt treatment to prevent further harm to the patient.

Keywords

• paucibacillary leprosy
• leprosy reaction
• pemphigoid
• neuritis