Tuberculoid Leprosy with External Jugular Vein Thrombosis: A Case Report and Literature Review

  • Ali Ibrahim Rahil Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar
  • Ahmed Osman Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar
  • Mohamed Magdi Mohamed Eid Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar
  • Sara Kanbour Weill Cornell Medical College, Doha, Qatar
  • Ahmed Mahfouz Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar

Keywords

Tuberculoid leprosy, jugular vein thrombosis, thickened nerve

Abstract

Thrombotic disease represents a rare manifestation of leprosy. In this study, we report the case of an external jugular vein thrombosis associated with tuberculoid leprosy in a 23-year-old male patient. The patient presented with a 3-month history of painful cord-like swelling on the left side of the neck and a nearly 3-week history of skin lesions on the left cheek and right leg. Physical examination revealed cord-like, tender swelling on the left lateral aspect of the neck overlying the sternocleidomastoid muscle, and a hypopigmented, hypoaesthetic 6×7 cm lesion with an irregular margin on the left cheek. A Doppler ultrasound examination of the jugular vein showed thrombosis of the left external jugular vein. Three-dimensional reconstruction of the computed tomography scan showed the enlarged and enhanced left external jugular vein, as well as 1 of its tributaries, and the thickened skin patch. A skin punch biopsy from the left cheek lesion revealed granulomatous inflammation with occasional peri-adnexal granulomas, consistent with the clinical impression of tuberculoid leprosy. A diagnosis of leprosy with external jugular vein thrombosis was established. Anticoagulation therapy was initiated, and the patient was referred to an infectious disease clinic for treatment with anti-leprosy medications.

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  • Published: 2020-01-20

    Issue: Vol 7 No 2 (view)

    Section: Articles

    How to cite:
    1.
    Rahil AI, Osman A, Eid MMM, Kanbour S, Mahfouz A. Tuberculoid Leprosy with External Jugular Vein Thrombosis: A Case Report and Literature Review. EJCRIM [Internet]. 2020Jan.20 [cited 2020Sep.25];7(2). Available from: https://www.ejcrim.com/index.php/EJCRIM/article/view/1302