释义 |
Hansen's disease
Han·sen's disease H0052200 (hăn′sənz)n. See leprosy. [After Gerhard Henrik Armauer Hansen (1841-1912), Norwegian physician.]Hansen's disease (ˈhænsənz) n (Pathology) pathol another name for leprosy[C20: named after G. H. Hansen (1841–1912), Norwegian physician]ThesaurusNoun | 1. | Hansen's disease - chronic granulomatous communicable disease occurring in tropical and subtropical regions; characterized by inflamed nodules beneath the skin and wasting of body parts; caused by the bacillus Mycobacterium lepraeleprosyinfectious disease - a disease transmitted only by a specific kind of contacttuberculoid leprosy - leprosy characterized by tumors in the skin and cutaneous nerveslepromatous leprosy - a very serious form of leprosy characterized by lesions that spread over much of the body and affecting many systems of the bodyENL, erythema nodosum leprosum - an inflammatory complication of leprosy that results in painful skin lesions on the arms and legs and face | TranslationsHansen's disease
Hansen's disease: see leprosyleprosy or Hansen's disease , chronic, mildly infectious malady capable of producing, when untreated, various deformities and disfigurements. It is caused by the rod-shaped bacterium Mycobacterium leprae, first described by G. ..... Click the link for more information. .Hansen's disease[′han·sənz di‚zēz] (medicine) An infectious disease of humans thought to be caused by Mycobacterium leprae ; common manifestations are cutaneous and neural lesions. Also known as leprosy. Hansen's disease
leprosy [lep´ro-se] an inflammatory disease caused by Mycobacterium leprae, manifested in various ways, depending on the host's ability to develop cell-mediated immunity. It is a chronic communicable disease characterized by the production of granulomatous lesions of the skin, mucous membranes, and peripheral nervous system. Not readily contagious, it often results in severe disability but is rarely fatal. Called also Hansen's disease. adj., adj lep´rous.Frequency and Transmission. Leprosy is essentially a tropical disease, although it has occurred in every country in the world. According to the World Health Organization, the number of leprosy patients in the world was less than 600,000 at the beginning of 2001. Its control remains a problem in six countries: Brazil, India, Madagascar, Mozambique, Myanmar, and Nepal. Leprosy is not inherited, but the actual means of transmission have not yet been established. It is known that the source of infection is the discharge from lesions of persons with active cases. It is believed that the bacillus enters the body through the skin or through the mucous membranes of the nose and throat. Leprosy is considered one of the least contagious of infectious diseases; only 3 to 5 per cent of those exposed to it ever contract it.Symptoms. The average incubation period of leprosy is 3 years. Initially, the infection is confined to the sheaths of nerves in the dermis. The disease progresses by spreading up the nerve sheath, resulting in loss of sensation, or by forming subcutaneous nodules and skin lesions. In the lepromatous type, open sores later appear on the face, earlobes, and forehead, with tests showing large numbers of bacilli in the discharge from these lesions. If progress of the disease is not checked by treatment, the fingers and toes disintegrate and there may be other disfiguring due to trauma to the insensitive extremities. Death may occur in extreme cases of this type, but more often it is due to a secondary infection, such as tuberculosis or pneumonia. In the tuberculoid type, there is loss of sensation on sections of the skin and atrophy of muscles. This often results in contraction of the hand into a claw. Leprosy is further classified as either paucibacillary or multibacillary according to whether there are fewer or more than five lesions or patches present.Treatment. Leprosy is most effectively and inexpensively treated with sulfone medications, such as dapsone, developed around 1950. In cases of sulfone resistance, the drug clofazimine (Lamprone) may be prescribed. A semisynthetic antibacterial, rifampin, is very effective in killing leprosy bacilli rapidly, so that patients receiving it may be considered minimal public health risks within a few days after treatment is begun. However, these drugs are expensive, have serious side effects, and are not readily available in many countries. Treatment continues for several years at least, and sometimes indefinitely. In addition to specific medical therapy, adequate rest, diet, and exercise are provided. Physical therapy is employed to retrain affected muscles. Psychiatric help, not only for leprosy patients but for their close contacts and those who only imagine they have been exposed, is invaluable in relieving the anxieties arising from the age-old misconceptions about the disease.Prevention. Preventive measures include establishment of clinics and hospitals for diagnosis and treatment. Early diagnosis and prompt treatment with multidrug therapy are key to prevention. Many patients return to their homes completely free of symptoms and are able to resume normal lives. Cure has been most successful in cases that were diagnosed and treated at an early stage, especially among the young. Among the public health measures used to prevent leprosy are the laws in most countries requiring that all cases be reported to the local authorities and that all discharged leprous patients be examined at six-month intervals. Most countries also refuse entry to immigrants known to be infected. In the United States, information about leprosy, as well as treatment, can be obtained from the Gillis Long Hansen's Disease Center, Carville, LA 70721, telephone 800-642-2477.Hansen's disease (hăn′sənz)n. See leprosy.Hansen's disease Leprosy. An infection of the skin and the nerves, caused by the slowly replicating organism Mycobacterium leprae . Infectivity is low and the incubation period of the disease is from 2–5 years. Untreated Hansen's disease may cause loss of fingers and toes due to trauma to anaesthetized parts, and severe facial disfigurement and blindness. In the lepromatous form the body's immune reaction is poor and tissue destruction is great. In the tuberculoid form there is a good immune response and the disease is milder and non-infectious. Treatment with the drug dapsone is now less effective because of bacterial resistance and this has been replaced by drugs such as rifampicin, clofazimine and ethionamide, used in combination. Thalidomide is also valuable in the treatment of Hansen's disease.Hansen's disease
Synonyms for Hansen's diseasenoun chronic granulomatous communicable disease occurring in tropical and subtropical regionsSynonymsRelated Words- infectious disease
- tuberculoid leprosy
- lepromatous leprosy
- ENL
- erythema nodosum leprosum
|