ABSTRACT
Leprosy is a chronic granulomatous disease caused by Mycobacterium leprae. Once considered a taboo, it is still misdiagnosed and underdiagnosed. Leprosy can present in innumerable diverse ways which can be confused with many treatable and non-treatable, infectious and noninfectious disorders. Though leprosy is eliminated from India in 2005, still many new cases are being reported day by day. Here we found a very rare manifestation of borderline lepromatous leprosy presented with erythematous figurate bands over trunk, proximal extremities and erythematous patches over palms and soles.
ABSTRACT
Leprosy is caused by Mycobacterium leprae, which has a distinct predilection for cooler parts of the body. There are many forms of leprosy that range from the mildest indeterminate form to the most severe lepromatous type. The type of disease an individual develops depends on the host immune status; with tuberculoid type being seen in those with good immunity and lepromatous form in individuals with poor immunity to leprosy bacillus. Deep ulcers may occur in association with erythema nodosum leprosum, Lazarine leprosy and Lucio phenomenon. We report a male who presented with multiple acute onset foul smelling stellate ulcers over bilateral extremities. He was diagnosed as Borderline lepromatous leprosy (not in reaction) on the basis of histopathology. This type of presentation has not been reported till date.