Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

158 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Have Hansen's disease and pale white patches on fingers. What is the cure?

Answered by
Dr.
Dr. Roopa Hiremath

Infectious Diseases Specialist

Practicing since :2002

Answered : 877 Questions

default
Posted on Wed, 11 Dec 2013 in General Health
Question: I tried about an hour ago about Hansen's disease and my computer wouldn't connect after y'all said a medium question would cost $35 and I clicked okay but it would never go through, Finally got a connection and trying again, but it could happen any time. Please dont give up on me. I really want someone who knows the symptoms of this disease to answer me. The symptoms are very difficult to assess unless you have worked in that field. I dont want to go to my doctor to let me know where to go as it would be on record there and I may not even have it. The 3 symptoms I have are pale white places on my ring finger of right hand, been that way for over 6 months. My doctor was going to freeze them if still there after 3 months, but we both forgot. I jokingly asked "Do I have leprosy," remembering about XXXXXXX in the Bible. I don't think he recoreded any of that. Anyway in the meantime those 3 fingers between little finger and thumb have become numb, as in Neuropathy. Also for many months I have had a little row of I guess they are nodules along right side of my nose. I have tried antibiotic, no luck, and olive oil, no luck. They stay the same. Please don't leave me, even if my pc acts up. I just hope it goes . my email address is YYYY@YYYY Do I hit anything for you to see this or do you automatically see it?
doctor
Answered by Dr. Roopa Hiremath 2 hours later
Brief Answer: Hansen's disease (Leprosy) Detailed Answer: Hi, Welcome to health care magic. I have gone through your query, I understand your concern regarding the pale patches on your finger. Let me explain few details about leprosy so that I can relieve your anxiety. Leprosy is a disease now confined to developing countries and is still found in India, South east Asia and Brazil. It is an infection caused by a bacteria called Mycobacterium leprae which is spread mainly by contact with infected person. This disease involves the skin, peripheral nerves and nasal mucosa. There are at least four types of leprosy - lepromatous, tuberculoid, borderline and indeterminate types. Numb patches of skin is seen in Tuberculoid type of leprosy. These patches are clearly defined patches and no sensation(anesthesia) is felt only in those areas of skin. Simple bed side test can be done to confirm the anesthesia. It is called the pin test where a blunt pin can be used to touch the anesthetic patch with patients eyes closed and patient is asked if he/she is feeling any sensation. But this test is subjective. Leprosy can be confirmed by a slit skin smear of the anesthetic patch for acid fast bacilli (Leprae bacilli) In your case, I am suspecting neuropathy rather than leprosy as you mention numbness of the whole finger where as in leprosy very clearly demarcated areas of numbness is seen. Nodules on the nose need to be examined to rule out the cause. Such nodules may be seen in spectacle users where nodules develop on the bridge of the nose. I hope I have cleared your doubts. Please get back if any more clarifications. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Roopa Hiremath 26 hours later
I was not online with the above question when I submitted it so don't know if you received it. I copied it, here it is in case you didn't get it: Thank you for your allaying most of my worries over this. I want you to know I do wear glasses but the nose piece does not touch the area where the "nodules" are. Does that make a difference in your opinion that they are not related to Hansen's disease? We live in a rural area. Before I contacted your group I had read up on the disease. They still do not know if armadillos cause it and we do have them in our yards here. We don't take our shoes off before entering the house so you know what all that entails. I am wondering since one medical site said it takes 10 years to get an outbreak after being exposed, if it still might be Hansen's, what I have. I certainly don't want it to be, but I am wanting you to cover these things too. One place said I had a month to ask questions. The above countdown says two days which is plenty. Do I still have that much time?
doctor
Answered by Dr. Roopa Hiremath 10 hours later
Brief Answer: Armadillos are used for leprae culture Detailed Answer: Hi, Apologies for the late reply, Nine banded armadillos are used for culture of leprae bacilli. These animals are inoculated with leprae bacilli in their footpads. This is done only for research purposes. Armadillos do get leprosy similar to humans but there is no evidence of this animal spreading the disease to humans. If you are still in doubt, you can get a slit skin smear of the edges of the patches and get it tested for acid fast bacilli. Coming to the nodules, if they are increasing in size, becoming painful or causing discomfort then you have to get them examined by a doctor nearby you who can suggest further testing if required. You might have to get a biopsy of the nodules if necessary. I still stand by my previous answer that it is most unlikely to be Hansen's. I hope I have cleared all your doubts. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,  
Medical Topics

Recent questions on  Mycobacterium

doctor1 MD

i am a 68 year old man . i have grade I prostate . have persistant low grade fever for last 20 days now. pain in groin area through to the knees, difficulty in flexing thighs, low back pain , lower abdomen pain , shortness of breath, nausea, have lost weight in the last few months. am a reformed smoker. i had stones in bladder but gone with medication.

got all tests done incl psa, TSH, x ray of chest, mycobacterium (for tb), ultrasound of abdomen, endoscopy, cbc, urine microscopy, RA, IG m but they are all in the normal range. diagnosis is unclear. pls help. i am distressed.

doctor1 MD

Hi Doctor, I am male 35, Non alcoholic, non smoker.My wife is 30. we are trying for baby from past 3 years. This is her first one. She was being undergoing for treatment with an OBG Doc. She has done 3 times follicular scan. and twice she was...

doctor1 MD

Hi - i have sciatica with pain going down my right leg when it occurs! i did a mantoux test that says i have Mycobacterium TB of the spine. Have been taking pyrazinamide-rifampicin-isoniazid-ethambutol for about 6months now!! Please, any suggestions to ease the leg cramps and sciatica?? Thanks, Aminu, nigeria.

doctor1 MD

Dear Doctor,



We were married 12 years back but till now we are without any issue. My present age is 45 years and age of my wife is 43 years at present. After one year of marriage i.e. in the year 2000, we consulted gynaecologist, who prescribed several courses of clomiphen. Injections like choragen, pregnyl etc were also administered. Apart from this medicines like letoval were also taken by my wife. But despite this, we were unable to have a baby. Subsequently, laparoscopy / EB was conducted in January 2002 and it was diagnosed that both tubes seen healthy and potent , spill and ovaries normal, pelvis clean. After laparoscopy, the courses of medicines was repeated. After, we consulted another doctor from Mumbai (Dr. Firruza parikh), who suggested cervical dilatation, which was done January 2004. Dilatation was possible upto Hg 8 with difficulty. After this we were asked to follow CC (Tab fertyl, Inj profassi, Inj IVFC 5000) + coital courses for 3 months. After failure of this course, another course for 2 months which include Inj Lupride, Inj IVF – M with ovulation monitoring followed by Inj IVF-C 10000 iu, IVF 5000 iu. After this a cyst was developed and course was stopped after two months.

After the failure of above course, we shifted to Delhi in April 2006 and consulted doctors there. First they asked us to go for HSG and the report of which was ‘Impression: Normal Study’. Another Dr. in Delhi performed Mycobacterium Tuberculosis and NK cells after which my wife has take 9 months medicinal course of AKT till Feb. 2007. After which Microbiology was again conducted at Appollo Hospital Delhi on 28.02.2007 with report ‘Negative for IS-6110 ‘Sequence of Mycobacterium Tuberculosis’ Conclusion: Endometrium *SECRETORY PHASE. After this two IUI course were done in March & April 2008 at Appollo Hospital Delhi. After failure of two IUI corses, IVF was done at Appollo Hospital in May-June 2008. After failure of IVF, we discontinued the medicines as my wife developed a cyst in left ovary.

Now keeping in view the above history, we may please be guided what steps should we take to have a baby.



An early response will be highly appreciated.

With regards,

AJAZ

doctor1 MD

Are Hernia Mesh implants supposed to break up, disintegrate, tear and/or loose their anchors? Aren't they permenant and supposed to be completely sterile?
I also feel terrible pain in my abdomen where the netting is and I feel there is a staph infection that is coming from this. I also have a Mycobacterium lung infection with some lung scaring. The oral sputum culture also showed the mycobacterium as well as cocci in chains and pairs. Also have cysts in my muscle and had an infected cyst a year ago. Been dealing with this for years. Netting implanted in 2001.

doctor1 MD

My husband has been sick for weeks. He went to the doctor thinking he had an ear infection and got anitbiotics. Last night he had a terrible headache, vomiting , fever. Night before stomache ache. Went to the dr today and he did an ekg, no heart...

doctor1 MD

My two year old child is having r cinex as she is suffereing from tb infection. How long this medicine is to be taken? Is it curable?