title: Isolated case of mucosal histoid Hansen's disease of the nasal cavity in a post-global elimination era.
abstract: Histoid Hansen's disease is a rare form of multibacillary leprosy with distinct clinical and histopathological features. This type of leprosy is a variant of lepromatous leprosy with a very high bacterial reserve. Of alarming concern is the discovery of an isolated mucosal histoid leprotic lesion inside the nasal cavity of a patient in the post-global leprosy elimination era. Our case had no history of leprosy or exposure to dapsone/multidrug therapy but had a heavy bacillary index. We are reporting this case to highlight the rarity of mucosal lesions due to histoid leprosy and involvement of the nasal cavity, as well as to create awareness and avoid misdiagnosis. This will help facilitate prompt treatment to minimize the complications and deformities of the patient and prevent its spread throughout the community.
authors.affiliation: Department of ENT, IMS and SUM Hospital, Siksha "O" Anusandhan University, K8, Kalinganagar, Bhubaneswar 751003, Odisha, India. Electronic address: santoshvoltaire@yahoo.co.in.
authors.forename: Santosh K
authors.initials: SK
authors.lastname: Swain
authors.affiliation: Department of Skin and VD, IMS and SUM Hospital, Siksha "O" Anusandhan University, K8, Kalinganagar, Bhubaneswar 751003, Odisha, India.
authors.forename: Ajay K
authors.initials: AK
authors.lastname: Jena
authors.affiliation: Department of Skin and VD, IMS and SUM Hospital, Siksha "O" Anusandhan University, K8, Kalinganagar, Bhubaneswar 751003, Odisha, India.
authors.forename: Maitreyee
authors.initials: M
authors.lastname: Panda
authors.affiliation: Department of Pathology, IMS and SUM Hospital, Siksha "O" Anusandhan University, K8, Kalinganagar, Bhubaneswar 751003, Odisha, India.
authors.forename: Debahuti
authors.initials: D
authors.lastname: Mohapatra
authors.affiliation: Department of Skin and VD, IMS and SUM Hospital, Siksha "O" Anusandhan University, K8, Kalinganagar, Bhubaneswar 751003, Odisha, India.
authors.forename: Nibedita
authors.initials: N
authors.lastname: Patro
authors.affiliation: Central Research Laboratory, IMS and SUM Hospital, Siksha "O" Anusandhan University, K8, Kalinganagar, Bhubaneswar 751003, Odisha, India.
authors.forename: Mahesh C
authors.initials: MC
authors.lastname: Sahu
mesh_terms: D006801:Humans; D007918:Leprosy / Q000175:diagnosis* / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D009297:Nasal Mucosa / Q000473:pathology*
keywords: Histoid Hansen's disease; Leprosy; Mucosal; Nasal cavity