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Septic bone changes in leprosy: A clinical, radiological and palaeopathological review
Author(s) -
Andersen Johs G.,
Manchester Keith,
Roberts Charlotte
Publication year - 1994
Publication title -
international journal of osteoarchaeology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.738
H-Index - 60
eISSN - 1099-1212
pISSN - 1047-482X
DOI - 10.1002/oa.1390040105
Subject(s) - radiological weapon , leprosy , medicine , surgery , pathology
Infective lesions of bone in leprosy are of two types. In the rhinomaxillary syndrome, superficial infective changes in the bones of the maxilla are due to the presence of Mycobacterium leprae. Lytic foci in the medulla or the outer cortical surface may be due to Mycobacterium leprae at the site as granulomatous lesions. The most frequent infective bone changes in leprosy are, however, sequelae of regional anaesthesia and soft tissue ulceration. The bone lesions are due to pyogenic bacteria and the nature of these infective lesions is similar to that in non‐leprous conditions. The pyogenic lesions in leprosy are restricted to the bones of the hands, feet and lower legs.