ECE2014 Poster Presentations Diabetes complications (59 abstracts)
A lepromatous lepra case presented like diabetic foot
Mehmet Muhittin Yalcin 1 , Tugce Emiroglu 2 , Cigdem Ozkan 1 , Alev Altinova 1 , İlhan Yetkin 1 , Ayhan Karakoc 1 , Goksun Ayvaz 1 & Metin Arslan 1
1Faculty of Medicine, Endocrinology and Metabolism Department, Gazi University, Ankara, Turkey; 2Faculty of Medicine, Internal Medicine Department, Gazi University, Ankara, Turkey.
A 67–year-old female patient was transferred to our hospital from a nursing home for high capillary glucose levels and foot ulcer considered as diabetic foot infection. Her past medical history could not be obtained because of mental retardation with unknown etiology and absence of relatives.
A purulent foot ulcer sized 4×3 cm was found in right heel. She also had deformities in her hands, feet, and her nose. Peripheral neuropathy was also detected. Her fasting glucose was 121 mg/dl, her HbA1c was 5.8%. Oral glucose tolerance test revealed impaired glucose tolerance. She also had a stage IV chronic kidney disease with a creatinin clearence of 15 ml/min. Because of her clinical findings related to leprosy we searched all the databases in Turkey. We found a registration for our patient in lepra clinic in Ankara. The lepra basil was not found in the skin biopsy which was interpreted as chronic non-contagious lepromatous lepra.
We started hemodialysis programme for her CKD and advised only diabetic diet. Her infection in the foot was treated with sulbactam-ampicilline and local antibiotics.
Leprosy is a very rare disease with a prevelance rate of 0.0002% in Turkey. Here we present a chronic leprosy case with chronic complications including foot ulcers, which presented like diabetic foot infection.
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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