@article{100219,
  keywords = {Leprosy, Atypical, mimicker},
  author = {Kumari S and Verma GK and Negi AK and Sharma A},
  title = {Lepra Reactions: Mimickers and Mirror to Unmask Complex Cases of Leprosy},
  abstract = {<p>Leprosy is a silent disease with protean manifestations, especially during lepra reactions (LRs). Cases with atypical leprosy or LR simulate a number of conditions misdiagnosed frequently. Here, three classical cases of leprosy are reported for their complex presentation. Leprosy was hidden in Case 1 due to co-existing diabetes. COVID vaccination induced LR unmasked all leprosy lesions, which were extensive, large, bizarre and spreading to various immune zones. Case 2 presented with high-grade fever, tachycardia, generalized erythema and body aches. A detailed workup unveiled his leprosy with a rare presentation of Type 1 lepra reaction (T1LR) with erythroderma and severe systemic symptoms. Case 3 mimicked sarcoidosis and lupus erythematosus (LE) on routine workup. She had facial lesions in the malar area, photosensitivity, joint pains, raised angiotensin-converting enzyme (ACE) levels and positive anti-nuclear antibodies. Peri-appendageal granulomas on histopathology and therapeutic response to multidrug therapy helped in the early diagnosis of leprosy.</p>
},
  year = {2023},
  journal = {Indian Dermatology Online Journal},
  volume = {15},
  pages = {500-503},
  publisher = {Medknow},
  issn = {2229-5178, 2249-5673},
  url = {https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11152462/pdf/IDOJ-15-500.pdf},
  doi = {10.4103/idoj.idoj_294_23},
  language = {ENG},
}