01636nas a2200193   4500000000100000008004100001653002500042653002000067653001200087100001800099700002000117700002000137700001800157245006800175856011900243300001500362490000600377520105900383       2015                            d10aMycobacterium leprae10aLymphadenopathy10aleprosy1 aChowdhury A R1 aBandyopadhyay G1 aBhattacharyya P1 aChakraborty S00aAn unusual presentation of leprosy : Lepromatous lymphadenitis.  uhttp://www.ijmedph.org/article.asp?issn=2230-8598;year=2015;volume=5;issue=4;spage=381;epage=383;aulast=Chowdhury   a381 - 383 0 v53 a<p>Editor's abstract:</p>

<p>Leprosy is a nonfatal, chronic inflammatory disease caused by <em>Mycobacterium leprae</em>, whose clinical manifestations are largely confined to the skin, peripheral nervous system, upper respiratory tract, eyes, and testes.<br />
However, here we are reporting a case of leprosy in a 45-year-old male, who presented with bilateral inguinal lymphadenopathy.<br />
Left inguinal lymph node was excised surgically and was transported in 10% formalin. Sections were stained with Hematoxylin and Eosin and with modified Ziehl-Neelsen (ZN) technique and were examined under light microscope.<br />
Microscopic examination revealed aggregates of foamy histiocytes surrounded by plasma cell infiltrate. Modified ZN stain was performed which showed foamy histiocytes packed with acid-fast lepra bacilli.<br />
This report highlights the importance of systemic involvement in leprosy, especially the unusual presentation with lymphadenopathy. Hence, clinicians practicing in endemic areas should bear this fact in mind.</p>