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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.
Abstract:
Leprosy is a chronic infectious disease with varied presentation. Hypopigmented or erythematous patches and plaques, skin-colored nodules, and diffuse cutaneous infiltration are the different types of cutaneous lesions seen among patients of leprosy. Verrucous lesions are an uncommon finding of the disease and may be misdiagnosed in the present times due to its rarity. We have herein described two such patients, one of whom had verrucous lesions as the only evident manifestation of leprosy, while the other developed verrucous plaque as the part of leprosy relapse.
Insights
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.
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.
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