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Verrucous lesions in leprosy.

Raihan Ashraf1, Tarun Narang1, Sunil Dogra1

  • 1Department of Dermatology, Venereology, and Leprology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

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Summary

Verrucous lesions are a rare manifestation of leprosy, sometimes mimicking other conditions. This study highlights two cases, emphasizing the importance of considering leprosy even with unusual skin presentations.

Keywords:
Lepromatous leprosyverrucous lepromaverrucous lesions

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Area of Science:

  • Dermatology
  • Infectious Diseases
  • Microbiology

Background:

  • Leprosy, a chronic infectious disease, presents with diverse cutaneous manifestations.
  • Common lesions include patches, plaques, nodules, and diffuse infiltration.
  • Verrucous lesions are an uncommon and potentially misdiagnosed presentation of leprosy.

Observation:

  • Two patients with verrucous leprosy lesions were described.
  • One patient presented solely with verrucous lesions.
  • The second patient developed a verrucous plaque during a leprosy relapse.

Findings:

  • Verrucous lesions can be the sole or a relapsed manifestation of leprosy.
  • The rarity of verrucous lesions poses diagnostic challenges.
  • Accurate diagnosis requires awareness of atypical leprosy presentations.

Implications:

  • Increased awareness of verrucous lesions in leprosy diagnosis is crucial.
  • This presentation may require reassessment of diagnostic criteria for leprosy.
  • Further research into the pathogenesis of verrucous leprosy is warranted.