A man with erythematous nodules: what is the diagnosis? Lepromatous leprosy.
A 65-year-old man presented with an approximately 5-year history of cutaneous nodules of the arms and legs. In addition, physical examination revealed bilateral thickening of ulnar and tibial nerves, distal weakness with hallux extension and finger abduction, and distal hypoesthesia of the left hallux. Histopathological analysis of the skin biopsy specimen showed a dense inflammatory infiltrate in the hypodermis, characterized by vacuolated macrophages containing multiple organisms. The Fite stain was positive confirming the diagnosis of multibacillary leprosy.
Santos
Alan Pascoal Silva
AP
Universidade Federal Fluminense, Rio de Janeiro, Brazil.
Selles
Beatriz Rodrigues Silva
BR
Ayres
Eloísa Leis
EL
Xavier
Marcus Henrique de Sousa Brito
MH
Rochael
Mayra Carrijo
MC
D004890:Erythema / Q000209:etiology / Q000473:pathology; D006801:Humans; D015440:Leprosy, Lepromatous / Q000150:complications / Q000473:pathology*; D008297:Male; D008875:Middle Aged