This gentleman presents with multiple skin lesions over his entire body. They are erythematous macules, plaques, and nodules. He has generalized nerve damage with decreased sensation throughout. He has a "claw hand," "foot drop," and "claw toes" as well. The treatment for this is a multidrug regimen including rifampin.The alternate title for this case is "MMMBop."
Challenge: You have to check him for G6PD deficiency before starting which drug?
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4 comments:
Lepromatous leprosy, treated with rifampin, dapsone, and clofazimine. You should check for G6PD deficiency before starting dapsone.
leprosy dapsone
Dapsone. This is Leprosy. Nine Banded armadillos are the animal reservoirs for mycobacterium leprae..
yes! you are all right. nicely done
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Nine-Banded Armadillo
The nine-banded armadillo is the only animal besides the human that can be infected by Mycobacterium leprae. This is leprosy (which is repeated from a previous case), lepromatous type (as opposed to tuberculoid type). It is treated with dapsone. This is also called Hansen's disease; "MMMBop" is a 1997 "hit" song by the band Hanson.
Sources: UpToDate; Wikipedia.
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