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Bone marrow cyto-morphological changes in multibacillary leprosy.

R Sen1, S D Chaudhary, V B Dixit

  • 1Department of Dermatology, Venerealogy and Leprosy, Medical College and Hospital, Rohtak.

Indian Journal of Leprosy
|July 1, 1990
PubMed
Summary
This summary is machine-generated.

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Bone marrow examination of multibacillary leprosy patients revealed significant cytomorphological changes, including myeloid hyperplasia and megaloblastic changes. These findings highlight the systemic impact of leprosy and potential diagnostic challenges.

Area of Science:

  • Hematology
  • Infectious Diseases
  • Pathology

Background:

  • Leprosy, particularly the multibacillary form, can affect various organ systems.
  • Bone marrow involvement in leprosy is not fully understood.
  • Cytomorphological changes in bone marrow may offer insights into disease activity and host response.

Purpose of the Study:

  • To investigate cytomorphological alterations in the bone marrow of multibacillary leprosy patients.
  • To detect the presence of lepra bacilli in bone marrow.
  • To correlate bone marrow findings with clinical presentation and treatment status.

Main Methods:

  • Bone marrow aspiration and examination from 72 multibacillary leprosy patients.
  • Patients categorized into new cases (Group A) and treated cases (Group B).

Related Experiment Videos

  • Morphological analysis for cellularity, specific cell types, and presence of bacilli.
  • Main Results:

    • Myeloid hyperplasia observed, particularly in treated patients with erythema nodosum leprosum.
    • Megaloblastic changes in erythroblasts were frequent in both groups.
    • Elevated plasma cells and macrophages noted, with potential diagnostic confusion with multiple myeloma.
    • Bone marrow exhibited macrophage morphological changes, collections, and epithelioid cell granulomas.

    Conclusions:

    • Bone marrow examination reveals significant cytomorphological changes in multibacillary leprosy.
    • Findings suggest enhanced humoral response and potential for diagnostic dilemmas.
    • Further research is needed to elucidate the nature and significance of these bone marrow changes.