Crateriform and ulcerated lesions of nodular lepromatous leprosy masquerading as histoid Hansen’s disease
DOI:
https://doi.org/10.18203/issn.2455-4529.IntJResDermatol20260379Keywords:
Lepromatous leprosy, Nodular leprosy, Crateriform lesions, Ulceration, Histoid Hansen’s disease, Atypical leprosyAbstract
Nodular lepromatous leprosy (LL) classically presents with diffuse infiltration, nodules, and plaques. However, unusual morphologies may lead to diagnostic confusion, particularly with histoid Hansen’s disease. We report a rare presentation of nodular lepromatous leprosy manifesting as crateriform and ulcerated papules and plaques, clinically simulating histoid leprosy. Detailed clinical evaluation, histopathology, and slit-skin smear examination aided in establishing the correct diagnosis. This case highlights the importance of recognizing atypical cutaneous manifestations of leprosy to avoid misclassification and ensure appropriate management.
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References
Kumar B, Kar HK, Dogra S, editors. IAL textbook of leprosy. 3 ed. New Delhi and London: Jaypee Brothers Medical Publishers. 2023:268.
Somasundaram A, Sivakumar A, Arulnathan AP, Srinivas BH, Thappa DM. Facial ulceration in a patient with lepromatous leprosy. Int J Dermatol. 2024;63:1607-9. DOI: https://doi.org/10.1111/ijd.17233
Namisato M, Kakuta M, Kawatsu K, Obara A, Izumi S, Ogawa H. Transepidermal elimination of lepromatous granuloma: a mechanism for mass transport of viable bacilli. Lepr Rev. 1997;68(2):167-72. DOI: https://doi.org/10.5935/0305-7518.19970023
Pandey P, Suresh MS, Kumar Dey V. De novo histoid leprosy. Indian J Dermatol. 2015;60:525. DOI: https://doi.org/10.4103/0019-5154.159666
Sehgal VN, Srivastava G. Histoid leprosy A Review. Int J Dermatol. 1985;24:286-92. DOI: https://doi.org/10.1111/j.1365-4362.1985.tb05468.x
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