Case 318

Case 318

Medical history

10 year-old female patient from Vale do Mucuri, Minas Gerais, previously healthy, presents with facial and left-hand lesions. Refers that they started about 6 months ago, growing progressively, painless and non-pruritic. Denies any other complaints or comorbidities. Last attending doctor prescribed azole for 30 days, without improvement. Currently using nothing but local moisturising lotion.

Image 1: Photography of facial cutaneous lesion.

Image 2: Photography of cutaneous lesion on the back of left hand.

Considering the information provided and the photographies shown, the probable diagnosis and best conduct are, respectively:

Test question

(St. Joseph Hospital in Joinville/SC – 2013) About leprosy, it is correct to state that: