01605nas a2200229   4500000000100000008004100001260001000042653001900052653002400071653001800095100001800113700001500131700001300146700001100159700001900170245006300189856005200252300001200304490000700316520103800323022001401361       2024                            d  bLepra10aGeneral Energy10aLepromatous Leprosy10aLichen Planus1 aSrinivasan VR1 aHaridass P1 aWahab AJ1 aR. G S1 aHarikrishnan V00aAn atypical case of leprosy mimicking a lichenoid eruption  uhttps://leprosyreview.org/article/95/1/20-23085  a113-1170 v953 a<p>Lesions of leprosy may often be ignored or misdiagnosed due to atypical morphologies, thereby delaying treatment. We describe a case of Leprosy closely mimicking a lichenoid dermatosis.</p>

<p>A 52-year-old male admitted with hemiplegia following a cerebrovascular accident was referred to the dermatologist with pruritic violaceous papules and plaques over his body for the past 5 years, clinically suggestive of lichen planus. A few lesions however appeared unusual showing pseudopod-like projections, satellite papules or atrophy. There was no history of sensory loss or prior motor weakness. Skin biopsy showed foam cells and clumps of acid-fast bacilli and based on this diagnosis was revised to lepromatous leprosy.</p>

<p>This case was notable in view of its uncommon presentation. We emphasize that in endemic areas a high degree of suspicion is required to correctly diagnose cases of leprosy. A detailed clinical evaluation and slit-skin smears or biopsies of suspicious lesions may help reduce misdiagnosis.</p>
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