01390nas a2200193   4500000000100000008004100001653001300042653001900055653002700074100001500101700001300116700001400129700001100143700001500154245008000169856006700249300001200316520086800328       2024                            d10aAtypical10aPapulosquamous10aBorderline lepromatous1 a Gaikwad P1 aGadkar S1 aAgrawal A1 aMore Y1 aPalaskar N00aHansen’s Disease Mimicking as Papulosquamous Conditions – A Case Series  uhttps://www.ijl.org.in/published-articles/28122024074018/7.pdf  a319-3263 a<p>Hansen’s disease is a chronic granulomatous infectious disease caused by Mycobacterium leprae and Mycobacterium lepromatosis, primarily affecting skin and nerves, with a long incubation period. Depending upon bacillary load and host immunity, the clinical spectrum of leprosy is very wide. Leprosy, along with lepra reactions, can sometimes have uncommon clinical presentations, posing a diagnostic challenge leading to delayed treatment. We hereby present three cases of borderline lepromatous leprosy, two of them in type 1 lepra reaction, clinically mimicking papulosquamous conditions. Such scenarios with atypical presentations necessitate a keen clinical suspicion and confirmation with histopathological and microbiological examination, highlighting its role in early diagnosis, especially in endemic areas, for timely management of the disease.</p>