hanseníase dra. nadia almeida cre metropolitano – curitiba pr
TRANSCRIPT
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Hanseníase
Dra. Nadia Almeida CRE Metropolitano – Curitiba PR
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Hanseníase (Diagnóstico Diferencial)
Formas Clinicas : Indeterminada Tuberculóide Dimorfa Virchoviana
Reações hansênicas
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Hanseníase ( Diagnóstico diferencial)
Forma indeterminada: mancha hipocrômica, limites imprecisos, bordos irregulares, anestésica, prova da histamina negativa.
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Hanseníase ( Diagnóstico diferencial)
Indeterminada X Pitiríase alba (dartro volante)
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Hanseníase ( diagnóstico diferencial)
Indeterminada X Pitiríase versicolor
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Hanseníase (Diagnóstico diferencial)
Indeterminada X Nevo acrômico (despigmentoso)
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Hanseníase (Diagnóstico diferencial)
Indeterminada X Vitiligo
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Hanseníase ( Diagnóstico diferencial)
Indeterminada X Hipocromia residual
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Hanseníase (Diagnóstico diferencial)
REGRA: tudo que se pareça com hanseníase indeterminada não é hanseníase indeterminada se for normo-sensível e histamino-completa, exceto no caso do nevo anêmico
SAPSampaio
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Hanseníase (Diagnóstico diferencial)
Hanseníase Tuberculóide: Manchas ou placas formadas por pápulas ou tubérculos ao redor, com
involução central, assimétricas (até 5 lesões), bordos nítidos, anestésicas.Comprometimento de troncos nervosos. Variedades : - Nodular infantil - Neural
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Hanseníase (Diagnóstico diferencial)
Tuberculóide X Granuloma anular
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Hanseníase (Diagnóstico Diferencial)
Tuberculóide X Sarcoidose
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Hanseníase (Diagnóstico diferencial)
Tipo Tuberculóide X Psoríase
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Hanseníase (Diagnóstico diferencial)
Tuberculóide X Tinea corporis
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Hanseníase (Diagnóstico diferencial)
Tuberculóide X Esclerodermia
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Hanseníase (Diagnóstico diferencial)
Tipo tuberculóide X Lupus
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Hanseníase (Diagnóstico diferencial)
REGRA: tudo que se pareça com hanseníase tuberculóide, mas que não seja rigorosamente anestésico, não é hanseníase tuberculóide
SAPSampaio
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Hanseníase (Diagnóstico diferencial)
Hanseníase Dimorfa: 5 a 25 lesões bem definidas,bordos externos mal delimitados, simétricas, lesões satélites, infiltração difusa, vários troncos nervosos.
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Hanseníase ( Diagnóstico diferencial)
Hanseníase Virchowiana : manchas eritematosas, infiltradas, ferruginosas, bordos imprescisos, pápulas, nódulos, hansenomas. Infiltração difusa da pele, poupa pregas. Atinge vários órgãos
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Hanseníase (Diagnóstico diferencial)
Dimorfa e VirchowianaX Granuloma anular
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Hanseníase (Diagnóstico diferencial)
Dimorfa e Virchowiana X Linfomas
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Hanseníase (Diagnóstico diferencial)
Dimorfa e Virchowiana X Leismaniose
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Hanseníase (Diagnóstico diferencial)
Dimorfa e Virchowiana X Psoríase
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Hanseníase (Diagnóstico diferencial)
Dimorfa e Virchowiana X Neurofibromatose
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Hanseníase (Diagnóstico diferencial)
Dimorfa e Virchowiana X Xantomas
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Hanseníase (Diagnóstico diferencial)
Dimorfa e Virchowiana X Tuberculose
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Hanseníase (Diagnóstico diferencial)
Dimorfa e Virchowiana X Sífilis
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Hanseníase (Diagnóstico diferencial)
Dimorfa e Virchowiana X Sífilis
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Hanseníase (Diagnóstico diferencial)
Dimorfa e Virchowiana X Leishmaniose
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Hanseníase ( Diagnóstico diferencial)
Dimorfa e Virchowiana X Sarcoidose
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Hanseníase (Diagnóstico diferencial)
REGRA: tudo que se pareça com hanseníase virchowiana,cuja baciloscopia para bacilos álcool-ácido-resistentes(BAAR) não seja evidentemente positiva, não é hanseníase virchowiana; ainda o teste de sensibilidade é normal e a prova de histamina e pilocarpina são completas
SAPSampaio
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Hanseníase ( Diagnóstico diferencial)
Mão em garra X Artrite reumatóide
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Hanseníase (Diagnóstico diferencial)
Mão em garra X Esclerodermia
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Hanseníase ( Diagnóstico diferencial)
Pé anestésico X Artrite reumatóide
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Hanseníase ( Diagnóstico diferencial)
Úlcera plantar X Pé diabético
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Hanseníase
Dra. Nadia AlmeidaCRE Metropolitano Curitiba PR