Localized borderline lepromatous leprosy.
A 48-year-old soldier presented with 3 small leprosy lesions localized over the flexor area of the forearm. There was no nerve thickening and clinically the lesions looked like borderline-tuberculoid leprosy. However, these lesions demonstrated a bacteriological index (BI) of 4+ while no acid-fast bacilli (AFB) could be demonstrated from any other site of the body. A lepromin test was negative. Histologically evidence of borderline lepromatous leprosy was conspicuous. The case was diagnosed as localized borderline lepromatous-leprosy and treated with multidrug therapy. After 1 year of treatment, the lesions regressed, a lepromin test was positive (5 mm) and the BI from the lesions fell to 1+.
Jha
P K
PK
Base Hospital, Lucknow, India.
Talwar
S
S
Suresh
M S
MS
Panvelkar
V
V
D005542:Forearm; D006801:Humans; D015439:Leprosy, Borderline / Q000473:pathology*; D015440:Leprosy, Lepromatous / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D012867:Skin / Q000473:pathology*