Lepromatous leprosy Hansen’s mimicking histoid Hansen’s: a case report

K. Sowmya; B. Rekha Rani; K. V. T.  Gopal; P. V. Krishnam Raju

doi:10.18203/issn.2455-4529.IntJResDermatol20254130

Authors

K. Sowmya Department of Dermatology, Maharajah’s Institute of Medical Sciences, Vizianagaram, Andhra Pradesh, India
B. Rekha Rani Department of Dermatology, Maharajah’s Institute of Medical Sciences, Vizianagaram, Andhra Pradesh, India
K. V. T. Gopal Department of Dermatology, Maharajah’s Institute of Medical Sciences, Vizianagaram, Andhra Pradesh, India
P. V. Krishnam Raju Department of Dermatology, Maharajah’s Institute of Medical Sciences, Vizianagaram, Andhra Pradesh, India

DOI:

https://doi.org/10.18203/issn.2455-4529.IntJResDermatol20254130

Keywords:

Lepromatous, Leprosy Hansen’s, Histoid Hansen’s

Abstract

Lepromatous leprosy (LL) represents the anergic pole of the leprosy spectrum and may rarely mimic histoid leprosy (HL). A 45-year-old man presented with multiple shiny umbilicated papules and nodules over normal skin resembling HL. Slit-skin smear revealed numerous solid-staining bacilli (BI 5+), and histopathology showed diffuse foamy macrophages without spindle cells, confirming LL. The patient responded to multibacillary multidrug therapy. This case emphasizes the clinical overlap between LL and HL and the importance of bacteriological and histopathological evaluation for accurate diagnosis and management to prevent misclassification and ensure effective treatment.

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