@article{99727,
  keywords = {General Energy, Lepromatous Leprosy, Lichen Planus},
  author = {Srinivasan VR and Haridass P and Wahab AJ and R. G S and Harikrishnan V},
  title = {An atypical case of leprosy mimicking a lichenoid eruption},
  abstract = {<p>Lesions of leprosy may often be ignored or misdiagnosed due to atypical morphologies, thereby delaying treatment. We describe a case of Leprosy closely mimicking a lichenoid dermatosis.</p>

<p>A 52-year-old male admitted with hemiplegia following a cerebrovascular accident was referred to the dermatologist with pruritic violaceous papules and plaques over his body for the past 5 years, clinically suggestive of lichen planus. A few lesions however appeared unusual showing pseudopod-like projections, satellite papules or atrophy. There was no history of sensory loss or prior motor weakness. Skin biopsy showed foam cells and clumps of acid-fast bacilli and based on this diagnosis was revised to lepromatous leprosy.</p>

<p>This case was notable in view of its uncommon presentation. We emphasize that in endemic areas a high degree of suspicion is required to correctly diagnose cases of leprosy. A detailed clinical evaluation and slit-skin smears or biopsies of suspicious lesions may help reduce misdiagnosis.</p>
},
  year = {2024},
  journal = {Leprosy Review},
  volume = {95},
  pages = {113-117},
  publisher = {Lepra},
  issn = {2162-8807},
  url = {https://leprosyreview.org/article/95/1/20-23085},
  doi = {10.47276/lr.95.1.113},
  language = {Eng},
}