01691nas a2200241 4500000000100000008004100001260001200042653002300054653002100077653001900098100001200117700001200129700001200141700001000153700001200163700001200175245009800187856007400285300001200359490000700371520105700378022001401435 2021 d c01/202110aGlomerulonephritis10aHansen's disease10atrophic ulcers1 aSingh G1 aArora S1 aMitra D1 aDas P1 aSingh V1 aGupta A00aDive deep into trophic ulcer; Glomerulonephritis is still a complication in hansen's disease. uhttps://www.ijmyco.org/temp/IntJMycobacteriol102199-338776_092437.pdf a199-2010 v103 a

Hansen's disease is one of the ancient skin diseases known to humankind, still foxes even trained physician leading to delay in its diagnosis and unusual health burden. India followed by Brazil constitutes the highest number in newly diagnosed cases. Even though the World Health Organization and individual country have done much to contain the spread of leprosy, the findings of systemic complications, grade 2 deformity, and childhood leprosy reflect some shortcomings of the worldwide public health program. Renal involvement, particularly glomerulonephritis, is a known common systemic complication of the leprosy, but introduction of multidrug therapy and early case detection have reduced the chances of systemic complication significantly over the last three decades. Here, we report a case who presented in the emergency department with rapidly progressive swelling of the body, on evaluation found to have leprosy and glomerulonephritis having tubuloreticular inclusions in glomerular endothelial cell cytoplasm on electron microscopy.

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