01513nas a2200241   4500000000100000008004100001653001300042653001200055653001600067653001900083100001200102700001100114700001100125700001400136700001600150700001500166700002600181700001400207245008200221856006000303490000700363520090100370       2016                            d10aPhimosis10aleprosy10aLepromatous10aChagas disease1 aZarza P1 aHong C1 aPark B1 aMolinas G1 aGonzález M1 aSánchez D1 aMendoza de Sánchez G1 aCubilla A00a[Penile Lepromatous Leprosy in a Patient with Chagas Disease. A Case Report.]  uhttp://scielo.iics.una.py/pdf/anales/v49n2/v49n2a07.pdf0 v493 a<p>We are presenting a 52-year-old patient with phimosis due a tumor like mass, which on pathological evaluation was diagnosed as lepromatous leprosy. The patient had a history of Hansen’s disease involving the skin, the larynx and the bronchial tree. Before a circumcision, a physical examination revealed in addition to the lepromatous changes the presence of megaesophagus secondary to stenosis of the distal portion. Laboratory analysis for Tripanosomacruzii using ELISA technique was positive for Chagas Disease. We could find only one previous report of lepromatous leprosy affecting the foreskin. The coexistence of leprosy and myocardial Chagas disease is unusual but well known in reports from Brazil and India. However, this is, to our knowledge, the first case reported of an association of lepromatous leprosy and chagasicmegaesophagus in a patient with phimosis.<br />
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