01000nas a2200181   4500000000100000008004100001260001200042653002100054100001300075700001700088700001500105700001500120245005500135300000600190490000600196520060200202022001400804       2021                            d  bMedknow10aGeneral Medicine1 aChavan R1 aBelgaumkar V1 aDeshmukh N1 aPonathil A00aLepromatous leprosy as a presenting feature of HIV  a00 v03 aVarious bacterial, mycobacterial and fungal opportunistic infections occur frequently in immunocompromised individuals, however, leprosy in retroviral disease is a relatively rare association. Hereby, we report a case of lepromatous leprosy that presented with clinical features mimicking other opportunistic infections and subsequently led to the diagnosis of HIV. The myriad challenges associated with the diagnosis and management of HIV–leprosy coinfection are also discussed. Thus, although uncommon, atypical cutaneous lesions in HIV-seropositive patients warrant investigation for leprosy.  a2589-0557