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Primary visceral virchowian (lepromatous) hanseniasis
1Serviço de Dermatologia, Hospital Universitário, Universidade Federal do Rio de Janeiro, Brasil.
Abstract:
A case of primary visceral virchowian hanseniasis is presented. The onset and symptoms of the disease made one think that it was a lymphoma because of the severe enlargement of the liver, spleen, and lymph nodes. Biopsies of the liver, lymph nodes, and bone marrow revealed virchowian infiltration with acid-fast bacilli and globi. The skin was free of lesions and negative to bacilli, and there were no neural symptoms.