title: Leprosy in a texan.
abstract: A 69-year-old man from Texas with an unremarkable past medical history presented with a 2-year history of a diffuse, spreading annular eruption involving most of his trunk. He noticed progressive numbness of his hands and feet but no other systemic symptoms. He had never traveled outside of the United States. Skin biopsy confirmed a diagnosis of leprosy, and he was initiated on appropriate therapy.
authors.affiliation: Department of Dermatology, Baylor Scott and White Health, Temple, Texas.
authors.forename: Garrett L
authors.initials: GL
authors.lastname: Vick
authors.affiliation: Department of Dermatology, Baylor Scott and White Health, Temple, Texas.
authors.forename: Erica A
authors.initials: EA
authors.lastname: Tillman
authors.affiliation: Department of Dermatology, Baylor Scott and White Health, Temple, Texas.
authors.forename: Katherine H
authors.initials: KH
authors.lastname: Fiala
references.citation: J Clin Diagn Res. 2014 Jul;8(7):YD01-2
references.pmid: 25177622
references.citation: Am J Public Health. 1997 Dec;87(12):1923-7
references.pmid: 9431277
references.citation: An Bras Dermatol. 2014 Mar-Apr;89(2):205-18
references.pmid: 24770495
references.citation: PLoS Negl Trop Dis. 2012;6(6):e1702
references.pmid: 22745841
references.citation: J Immunol. 2012 May 15;188(10):4782-91
references.pmid: 22504648
references.citation: Am J Trop Med Hyg. 2014 Aug;91(2):216
references.pmid: 25100789
references.citation: PLoS Negl Trop Dis. 2010 Nov 02;4(11):e874
references.pmid: 21072235
references.citation: Clin Vaccine Immunol. 2007 Nov;14(11):1400-8
references.pmid: 17898185
references.citation: PLoS Negl Trop Dis. 2014 Feb 06;8(2):e2665
references.pmid: 24516679
references.citation: Hum Vaccin. 2011 Nov;7(11):1172-83
references.pmid: 22048122
references.citation: J Clin Microbiol. 2014 Feb;52(2):613-9
references.pmid: 24478496
references.citation: Future Microbiol. 2011 Jan;6(1):57-71
references.pmid: 21162636
references.citation: N Engl J Med. 2011 Apr 28;364(17):1626-33
references.pmid: 21524213
references.citation: Infect Genet Evol. 2011 Mar;11(2):363-74
references.pmid: 21129505
references.citation: Future Microbiol. 2011 Feb;6(2):217-30
references.pmid: 21366421
references.citation: Microbiol Mol Biol Rev. 2010 Dec;74(4):589-620
references.pmid: 21119019
references.citation: Eur J Clin Microbiol Infect Dis. 2009 Sep;28(9):1055-65
references.pmid: 19430824
references.citation: PLoS Negl Trop Dis. 2011 Mar 08;5(3):e981
references.pmid: 21408111