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Diffuse leprosy with "deck-chair" sign
M Manjunath Shenoy1, Mukhtar Ahmed Bendigeri2, Prshanth R Kamath1
1Department of Dermatology, Yenepoya Medical College, Yenepoya University, Deralakatte, Mangalore, Karnataka, India.
Indian Dermatology Online Journal
|May 27, 2015
Summary
A 55-year-old man with lepromatous leprosy presented with skin lesions and nerve thickening. A positive "deck-chair" sign, characterized by sparing of skin creases, was observed, suggesting leprosy as a potential cause.
Area of Science:
- Dermatology
- Infectious Diseases
Background:
- Leprosy is a chronic infectious disease primarily affecting the skin and peripheral nerves.
- Early diagnosis and treatment are crucial to prevent disability.
Observation:
- A 55-year-old male presented with asymptomatic, extensive skin lesions and symmetric peripheral nerve thickening.
- The patient exhibited a distinct sparing of abdominal creases and axillae, a finding known as the "deck-chair" sign.
Findings:
- Bacteriological and histopathological examinations confirmed lepromatous leprosy.
- The presence of the "deck-chair" sign in this leprosy case is a notable observation.
Implications:
- The "deck-chair" sign, previously associated with other dermatological conditions, may now be indicative of leprosy.
- This finding could aid in the early clinical recognition of leprosy, especially in cases with atypical presentations.
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