Teledermatology Nuevo Leon. Clinic case: erythema nodosum leprosum
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Abstract
The erythema nodosum leprosum (ENL) is a kind of leprosy reaction and it is told that it affects between 30 and 50% of patients with lepromatous and limitrophe lepra. It could be developed in whatever stage of treatment, but it is usually present during the first year, and it is recurrent. The clinic symptoms start with fever and feeling bad in general followed with the appearance erythematosus nodules, typically over the extensor surfaces of extremities. The ENL has as main characteristic the deposition of immune-complexes getting to produce vasculitis, iridociclytis, orqchitis, lymphadenitis, glomerulonephritis. The state of Nuevo Leon is pioneer in the area of Telemedicine in Mexico and nowadays there have been reported three hundred and fifty cases of lepra. At next it is presented one of them, which was followed by the department of Telemedicine, specifically by Teledermatology, and which distinguishes for having the particularity of having developed this kind of leprosy reaction.
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