01568nas a2200217   4500000000100000008004100001653001200042653001700054653001800071100001100089700001200100700001400112700001400126700001400140245008600154856005700240300001100297490000600308520102200314022001401336       2011                            d10aleprosy10aDysautonomia10aComplications1 aSahu S1 aGoyal V1 aDhiraaj S1 aKishore K1 aSingh P K00aA very common case become rare: Anesthetic considerations of lepromatous leprosy.  uhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC4173396/  a207-100 v53 a<p>Leprosy or Hansen's disease is very uncommon in developed countries. More than 80% of the world's cases occurs and still reported from developing countries. But nowadays due to increase in international affairs, medical tourism, globalization and immigration, there is increasing possibility to find patients anywhere, which require anesthesia for surgical interventions. Leprosy is a chronic infectious disease caused by Mycobacterium leprae and involves mainly skin, peripheral nervous system, upper respiratory tract, eyes and testes. Anesthetic consideration is focused mainly on complications related to leprosy like cardiac or respiratory dysautonomia, autonomic dysfunctions and side effects which are related to drug therapy and are challenging. There can be drug-related hepatitis and renal insufficiency in these patients. We report the anesthetic management of a patient with lepromatous leprosy who had undergone laparoscopic radical nephrectomy for renal cell carcinoma under general anesthesia.</p>
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