Morphea simulating paucibacillary leprosy clinically and histopathologically.
Clinically and histopathologically paucibacillary leprosy shows similar features with initial morphea. In this case we report a 24 yr-old male patient who presented to our dermatology department with diagnosed paucibacillary leprosy by his local dermatologist, and confirmed by perineurovascular lymphocytic infiltrate in the histopathological exam. On physical examination we found new plaque lesions that were suggestive of morphea with alteration of sensitivity. A new biopsy was performed showing sclerotic superficial dermis with thickening of the collagen bundles in deep dermis and linear arrays lymphocytic infiltrate between the collagen bundles that confirm the diagnosis of morphea.
Department of Dermatology, Mário Kröeff Hospital, Associação Pele Saudável, Rio De Janeiro, Brazil.
José Saulo Torres
JS
Delgado
Marília Lopes
ML
Cavalcanti
Bernard Kawa
BK
Kac
Claudia Lopes
CL
Pires
Morphea; paucibacillary leprosy; perineurovascular lymphocytic infiltrate