01270nas a2200217   4500000000100000008004100001653001200042653002000054653002700074653001300101653002400114100001200138700001400150700001500164700001400179245011300193856005100306300001200357490000700369520067600376       2018                            d10aleprosy10aIdentical twins10aBorderline lepromatous10aAlopecia10aContacts of leprosy1 aJassi R1 aBurman KD1 aSwarnkar B1 aAgarwal R00aIdentical twins with borderline lepromatous leprosy mimicking extensive alopecia areata: A rare presentation  uhttps://leprosyreview.org/article/89/3/30-1305  a301-3050 v893 a<p>Nineteen-year old identical female twins presented with complaints of progressive hair loss all over the body, sparing the scalp, axillae and pubic region along with a few atrophic scars on the knees, thighs and elbows. A possible diagnosis of atypical presentation of alopecia areata was made. However, in view of history of borderline tuberculoid leprosy in their younger sibling, a complete examination for leprosy was done. There was asymmetrical enlargement of multiple peripheral nerves without any sensory or motor loss. Histopathology confirms the diagnosis of BL Hansens. Such a presentation of leprosy in identical twins is not reported in literature.</p>