<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1028-4818</journal-id>
<journal-title><![CDATA[Multimed]]></journal-title>
<abbrev-journal-title><![CDATA[Multimed]]></abbrev-journal-title>
<issn>1028-4818</issn>
<publisher>
<publisher-name><![CDATA[Centro Provincial de Información de Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1028-48182019000300571</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Lepra lepromatosa macular en la infancia. Presentación de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Lepromatous macular leprosy in childhood. Presentation of a case]]></article-title>
<article-title xml:lang="pt"><![CDATA[Lepra macular lepromatosa na infância. Apresentação de um caso]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fuentes Gómez]]></surname>
<given-names><![CDATA[Liliana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Ramírez]]></surname>
<given-names><![CDATA[Zucell]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodriguez Poll]]></surname>
<given-names><![CDATA[Ana Deisis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Granma Hospital General Universitario Carlos Manuel de Céspedes ]]></institution>
<addr-line><![CDATA[Bayamo Granma]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<volume>23</volume>
<numero>3</numero>
<fpage>571</fpage>
<lpage>579</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1028-48182019000300571&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1028-48182019000300571&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1028-48182019000300571&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  la lepra es una enfermedad infectocontagiosa causada por el mycobacterium leprae, llamada también enfermedad de Hansen en honor a quien descubrió la bacteria en 1873, presenta varias formas clínicas y estados reaccionales que dependen de la inmunidad especifica del huésped.  Presentación de caso:  paciente masculino de 12 años con diagnóstico de lepra lepromatosa macular caracterizada por máculas hipocrómicas anestésicas y neuritis periférica bilateral y simétrica de los nervios: auricular mayor y cubital, la baciloscopia negativa y el resultado de la histología probablemente lepra.  Discusión: en el campo de la Dermatopediatría la lepra sigue siendo una patología poco descrita y subvalorada en la consulta diaria, por ello se convierte en un desafío diagnóstico, debido a la diversidad de manifestaciones clínicas que se pueden presentar, es necesario un minucioso examen cutáneo-neural en todo niño, que presente lesiones cutáneas sugestivas y fuente infecciosa sospechosa.  Conclusiones:  la presencia de máculas hipocrómicas anestésicas y neuritis periférica bilateral y simétrica de los nervios: auricular mayor y cubital, la presencia antecedentes familiares con la enfermedad y histología probablemente lepra contribuyeron al diagnóstico de una lepra lepromatosa macular.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  leprosy is an infectious disease caused by mycobacterium leprae, also called Hansen's disease in honor of the one who discovered the bacteria in 1873. It has several clinical forms and reaction states that depend on the specific immunity of the host.  Case presentation:  a 12-year-old male patient with a diagnosis of lepromatous macular leprosy, characterized by hypochromic anesthetic macules and bilateral symmetric peripheral neuritis of the nerves: major and ulnar auricular, negative smear and the result of probably leprosy histology.  Discussion:  in the field of Dermatopediatrics, leprosy is still a pathology that is little described and undervalued in the daily practice, therefore it becomes a diagnostic challenge, due to the diversity of clinical manifestations that may occur, a thorough skin examination is necessary -neural in every child, presenting suggestive skin lesions and suspicious infectious source.  Conclusions:  the presence of hypochromic anesthetic maculae and bilateral symmetric peripheral neuritis of the nerves: major and ulnar auricular, presence of family history with the disease and probably leprosy histology contributed to the diagnosis of lepromatous macular leprosy.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  Introdução:  A hanseníase é uma doença infecciosa causada pelo Mycobacterium leprae, também chamada de doença de Hansen em honra de quem descobriu a bactéria em 1873, tem várias formas clínicas e estados reacionais que dependem de imunidade do hospedeiro específico.  Relato de caso:  Paciente do sexo masculino de 12 anos com diagnóstico de lepromatous macular caracterizada por máculas hipocrômicas e neurite periférica bilateral simétrica anestésico eo nervo: auricular e ulnar, o resultado esfregaço negativo e histologia provavelmente lepra.  Discussão:  No campo da Dermatopediatría lepra é ainda um pouco descrita e subestimado na prática patologia diária, portanto, torna-se um desafio diagnóstico por causa da diversidade de manifestações clínicas que podem ocorrer, um exame da pele completa é necessária -neural em todas as crianças, apresentando lesões cutâneas sugestivas e fonte infecciosa suspeita.  Conclusões:  A presença de máculas hipocrômicas e nervos neurites periféricas bilaterais e simétricas anestésicos: auricular ulnar e a história da família presença da doença e da lepra histologia provavelmente contribuiu para o diagnóstico de lepromatous macular.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Lepra Lepromatosa]]></kwd>
<kwd lng="es"><![CDATA[Lepra Tuberculoide]]></kwd>
<kwd lng="en"><![CDATA[Lepromatous Leprosy]]></kwd>
<kwd lng="en"><![CDATA[Tuberculoid Leprosy]]></kwd>
<kwd lng="pt"><![CDATA[Lepra lepromatosa]]></kwd>
<kwd lng="pt"><![CDATA[Lepra tuberculóide]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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