Alternativas terapêuticas no tratamento de hansenomas residuais em paciente com critérios de cura de hanseníase

Hansenomas originate from the intense cutaneous infiltration by Mycobacterium leprae bacilli in Virchowian hansenic patients who tend to improve with treatment,however can develop keloid reactions. Alternative approaches are described for the treatment of disseminated receding hansenomas in the ears, face, upper limbs, and trunk in already treated virchowian patients. The exeresis of the lesion in the left ear was carried out and followed by injections of triamcinolone in the surgical scar, combined with simple injections in other lesions in exposed areas and an expectant approach in other areas. A good cosmetic result was observed in the excised lesion, in addition to a reduction in the lesions injected with corticosteroids. These procedures are easy to perform and cost effective, yielding good aesthetic outcomes. Os hansenomas originam-se da infiltracao cutânea acentuada por bacilos do Mycobacterium leprae em hansenicos virchowianos. Tendem a involuir com tratamento, mas podem desenvolver reacoes queloidianas. Descrevem-se alternativas na abordagem de hansenomas em regressao disseminados em orelhas, face, membros superiores e tronco em paciente virchowiano ja tratado. Realizou-se exerese da lesao em orelha esquerda seguida de infiltracoes de triancinolona na cicatriz cirurgica, apenas infiltracoes nas outras lesoes em areas expostas e conduta expectante nas demais. Observaram-se bom resultado estetico na lesao excisada e reducao nas lesoes infiltradas com corticoide. Os procedimentos sao de facil execucao, baixo custo e boa resposta estetica.