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Lepromatous leprosy with an uncommon presentation: a case report
K D Barman1, K Goel, P Agarwal
1kdebbarman@yahoo.com
Summary
A 28-year-old male presented with leprosy symptoms including skin nodules and nerve enlargement. Diagnosis confirmed lepromatous leprosy via skin biopsy and smear, indicating a significant bacterial load.
Area of Science:
- Dermatology
- Infectious Diseases
- Microbiology
Background:
- Leprosy, a chronic infectious disease caused by Mycobacterium leprae, primarily affects the skin and peripheral nerves.
- Early diagnosis and treatment are crucial to prevent disability and transmission.
Observation:
- A 28-year-old male presented with asymptomatic nodules and papules on the ears.
- He also exhibited asymmetrical nerve enlargement and tender nodules on extremities without skin infiltration or madarosis.
- Slit skin smear revealed a significant bacterial index (BI 6+).
Findings:
- Skin biopsy confirmed features consistent with lepromatous leprosy.
- The high bacterial index suggests a substantial M. leprae burden.
Implications:
- This case highlights the diverse clinical presentations of lepromatous leprosy, even in the absence of typical signs like infiltration or madarosis.
- Prompt diagnosis through slit skin smear and biopsy is essential for effective management and preventing complications.