Leprosy and von Recklinghausen´s disease

A case record is submitted, detailing, briefly, the study of an individual presenting an indiscriminate intermingling of pedunculated fibromata and leprous nodules, scattered almost over the entire body of the patient; some of the pedunculated tumors and the histologic picture clearly showed them to be fibromata, even though they were invaded by large numbers of Mycobacterium leprae. When the smaller tumors were not pedunculated, they could not be definitely classified from gross inspection as either fibromata with leprous invasion or leprous fibromata, but histologic differentiation was practicable when the papillary layer was not involved, as destruction or distortion of the papillary layer of the skin is considered a part of the histology or leprosy.