a 40 yr immigrant from South East Asia Region presents with history of lesion on his back that he cannot feel. On examination there is thick tender cord on the neck. He has strong TH2 response. The lesion is most probable due to?
a) granuloma formation
b) bacteria itself
c) type 1 hypersensitivity
d) drugs that he use to cure the disease
a 40yr immigrant from South East Asia Region presents with history of lesion on his back that he cannot feel.On examination there is thick tender cord on the neck.He has strong TH2 response.The lesion is most probable due to
?
a)granuloma formation
b)bacteria itself
c)type 1 hypersensitivity
d)drugs that he use to cure the disease
I go with BB...............I think this is a strong TH2 response in lepromatous leprosy..........high no. of bacteria produces nerve damage which may be the thick tender cord............i'm not sure though.............
a 40yr immigrant from South East Asia Region presents with history of lesion on his back that he cannot feel.On examination there is thick tender cord on the neck.He has strong TH2 response.The lesion is most probable due to
?
a)granuloma formation
b)bacteria itself
c)type 1 hypersensitivity
d)drugs that he use to cure the disease
the ans is bacteria itself >>>>>>strong th2 response indicates lepromatous leprosy as it shuts down th1 response so no intracellular killing by th1 response..
@subbi>>>thanks for explanation
@dockhi>>>tender cord in neck indicates NEURITIS
the key words are "leisons which he cannot feel" obviously lepromatously leprosy
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