01772nas a2200229   4500000000100000008004100001260001200042100001300054700001100067700001700078700002000095700001400115700001400129700001500143700001400158245006600172856006200238300001200300490000800312520120800320022001401528       2019                            d  c01/20191 aAkakpo A1 aSaka B1 aTéclessou J1 aMouhari-Toure A1 aAmegbor K1 aKassang P1 aKombaté K1 aPitché P00a[Atypical Localization of a Case of Leprosy in Lomé (Togo)].  uhttps://bspe.revuesonline.com/article.jsp?articleId=41067  a133-1360 v1123 a<p>This was a 50-year-old woman with a selling activity living in Lomé who came for a consultation in March 2016 for a facial flushing that had been going on for 2 months without pain or pruritus. On examination, there was a single, erythemato-squamous closet of the right hemiface. There was no infiltration of the right ear. There was moderate cutaneous heat compared to the left hemiface which was without any lesion. Examination of nails, hair, palms and plants was normal. There was no hypertrophy of the peripheral nerves (superficial cervical plexus, ulnar, median). The face was not fixed. Complementary examinations noted a normal blood count and negative HIV status. Histology performed on a biopsy fragment concluded tuberculoid leprosy. The patient was first put on WHO multidrug therapy during 6 months. But one month after stopping this treatment, the lesions resumed. She was referred to a multibacillary leprosy protocol during one year. She had been seen 4 months after stopping treatment, without recurrence. It is important not to ignore leprosy in case of atypical erythema of the face even in the absence of other evocative signs and to perform a biopsy to the slightest doubt.</p>  a1961-9049