@article{100518,
  keywords = {Hepatosplenomegaly, Lepromatous leprosy, Pancytopenia, Ichthyosis, Hemaphagocytosis},
  author = {Fernando N and Welhenge C and Premaratna R and Uwyse A},
  title = {Borderline lepromatous leprosy: A case report},
  abstract = {<p><strong>Rationale:</strong> Lepromatous leprosy can have many atypical presentations, obscuring early diagnosis. We present a case of lepromatous leprosy, presenting with atypical features, which made a diagnostic dilemma.</p>

<p><strong>Patient concerns: </strong>A 48-year-old man presented with bilateral lower limb oedema and scaly “ichthyosis like” skin rash in both hands and feet, hepatosplenomegaly and pancytopenia, over a course of three months, without any classical features of leprosy. A skin biopsy revealed an unexpected diagnosis of borderline lepromatous leprosy.</p>

<p><strong>Diagnosis: </strong>Lepromatous leprosy.</p>

<p><strong>Interventions:</strong> Multi-drug regimen treatment with rifampicin, dapsone and clofazimine for lepromatous leprosy.</p>

<p><strong>Outcomes: </strong>The patient made a good clinical recovery.</p>

<p><strong>Lessons:</strong> In endemic settings, clinicians should be aware of similar atypical manifestations of leprosy to face the global challenge of eradicating this chronic deforming disease.</p>
},
  year = {2024},
  journal = {Asian Pacific Journal of Tropical Medicine},
  volume = {17},
  pages = {329-332},
  publisher = {Medknow},
  issn = {1995-7645, 2352-4146},
  url = {https://pdfs.journals.lww.com/aptm/2024/17070/borderline_lepromatous_leprosy__a_case_report.5.pdf?token=method|ExpireAbsolute;source|Journals;ttl|1722340575510;payload|mY8D3u1TCCsNvP5E421JYK6N6XICDamxByyYpaNzk7FKjTaa1Yz22MivkHZqjGP4kdS2v0J76WGAnHACH69s21C},
  doi = {10.4103/apjtm.apjtm_874_23},
  language = {ENG},
}