title: Primary visceral virchowian (lepromatous) hanseniasis.
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.
authors.affiliation: Serviço de Dermatologia, Hospital Universitário, Universidade Federal do Rio de Janeiro, Brasil.
authors.forename: R D
authors.initials: RD
authors.lastname: Azulay
mesh_terms: D001853:Bone Marrow / Q000382:microbiology / Q000473:pathology*; D003937:Diagnosis, Differential; D004893:Erythema Nodosum / Q000473:pathology; D005260:Female; D006529:Hepatomegaly; D006801:Humans; D007918:Leprosy / Q000175:diagnosis / Q000473:pathology*; D008099:Liver / Q000382:microbiology / Q000473:pathology*; D008198:Lymph Nodes / Q000382:microbiology / Q000473:pathology*; D008223:Lymphoma / Q000175:diagnosis; D008875:Middle Aged; D009166:Mycobacterium leprae / Q000302:isolation & purification; D013163:Splenomegaly