01387nas a2200157   4500000000100000008004100001653001200042653001600054653002400070653001600094100001500110245003400125856017100159520088600330022001301216       2015                            d10aleprosy10aPhilippines10alepromatous leprosy10aSkin biopsy1 aAlwunais K00aLocalized lepromatous leprosy  uhttp://ac.els-cdn.com/S2352241015000262/1-s2.0-S2352241015000262-main.pdf?_tid=bd763bc2-ddff-11e4-b4ab-00000aacb35f&acdnat=1428505299_17c0e992c91ace3e7f494cc90ee172d13 a<p>Lepromatous leprosy is usually generalized at diagnosis and may consist of erythematous macules, papules and nodules containing abundant Mycobacterium leprae and affecting wide spread areas of the skin. Localized skin involvement by Lepromatous leprosy is rare<br />
In this report a 37 year old Filipino man presented with erythematous lesions localized on the right elbow and left knee for 9 months associated with diminished sensation.<br />
Clinically the patient presented with localized lesions mimicking tuberculoid leprosy, although a biopsy from the lesion revealed lepromatous type leprosy.<br />
A skin biopsy showed numerous acid fast bacilli and fat laden macrophages with a paucity of lymphocytes, Slit skin smear examination for M. leprae from the lesion revealed a Bacteriological Index (BI) of 6+ which are compatible with lepromatous leprosy .</p>

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