01359nas a2200181   4500000000100000008004100001653001700042653001200059653001700071100001900088700002100107700001200128245008700140856005100227300001400278490000700292520087800299       2015                            d10aTuberculosis10aleprosy10aCo-infection1 aFarhana-Quyum 1 aMashfiqul-Hasan 1 aAhmed Z00aA case of lepromatous leprosy with co-existing tuberculosis verrucosa cutis (TVC).  uhttps://leprosyreview.org/article/86/2/19-1903  a176 - 1790 v863 a<p>The association of leprosy and cutaneous tuberculosis has been reported rarely. Though cross-immunity may exist between these two mycobacterial infections, tuberculosis can occur throughout the spectrum of leprosy. We report a case of lepromatous leprosy with Type II reaction, with tuberculosis verrucosa cutis (TVC). The patient presented with multiple skin-coloured tender nodules of variable size, involving the upper and lower extremities, nodular enlargement of both ear lobes, erythematous plaques on the face and icthyotic patches over both lower legs and feet, for 6 months. There was also a slow-growing symptomatic warty plaque over the right lateral malleolus, present for 1 year. Slit skin smear examination from ear lobes, forehead and nodules, and histopathology of the warty lesion, respectively confirmed the diagnoses of leprosy and tuberculosis.</p>