Case Report: Upper Thoracic Esophageal Paralysis Accompanying a Type 1 Leprosy Reaction

Author:

Zhu Jianyu1,Shi Chao1,Zhao Huaibo1,He Rongli2,Jing Zhichun1,Yang Degang1

Affiliation:

1. Department of Leprosy, Shanghai Skin Disease Hospital, Tongji University School of Medicine, Shanghai, People’s Republic of China;

2. Department of Infectious Disease, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai, People’s Republic of China

Abstract

ABSTRACT. Type 1 leprosy reactions (T1LRs) occur mainly in patients with borderline leprosy and an unstable immune status. The main symptoms of T1LRs include aggravated skin lesions and nerve damage. Nerve damage involving the glossopharyngeal and vagus nerves causes dysfunction of the nose, pharynx, larynx, and even the esophagus, which are innervated by these nerves. Here, we report a case of upper thoracic esophageal paralysis caused by vagus nerve involvement in a patient with T1LRs. Although infrequent, this serious emergency merits attention.

Publisher

American Society of Tropical Medicine and Hygiene

Subject

Virology,Infectious Diseases,Parasitology

Reference10 articles.

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4. The continuing challenges of leprosy;Scollard,2006

5. Understanding the type 1 reactional state for early diagnosis and treatment: a way to avoid disability in leprosy;Nery,2013

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