Rationale: Lepromatous leprosy can have many atypical presentations, obscuring early diagnosis. We present a case of lepromatous leprosy, presenting with atypical features, which made a diagnostic dilemma.
Patient concerns: A 48-year-old man presented with bilateral lower limb oedema and scaly “ichthyosis like” skin rash in both hands and feet, hepatosplenomegaly and pancytopenia, over a course of three months, without any classical features of leprosy. A skin biopsy revealed an unexpected diagnosis of borderline lepromatous leprosy.
Diagnosis: Lepromatous leprosy.
Interventions: Multi-drug regimen treatment with rifampicin, dapsone and clofazimine for lepromatous leprosy.
Outcomes: The patient made a good clinical recovery.
Lessons: In endemic settings, clinicians should be aware of similar atypical manifestations of leprosy to face the global challenge of eradicating this chronic deforming disease.
BT - Asian Pacific Journal of Tropical Medicine DO - 10.4103/apjtm.apjtm_874_23 IS - 7 LA - ENG M3 - Article N2 -Rationale: Lepromatous leprosy can have many atypical presentations, obscuring early diagnosis. We present a case of lepromatous leprosy, presenting with atypical features, which made a diagnostic dilemma.
Patient concerns: A 48-year-old man presented with bilateral lower limb oedema and scaly “ichthyosis like” skin rash in both hands and feet, hepatosplenomegaly and pancytopenia, over a course of three months, without any classical features of leprosy. A skin biopsy revealed an unexpected diagnosis of borderline lepromatous leprosy.
Diagnosis: Lepromatous leprosy.
Interventions: Multi-drug regimen treatment with rifampicin, dapsone and clofazimine for lepromatous leprosy.
Outcomes: The patient made a good clinical recovery.
Lessons: In endemic settings, clinicians should be aware of similar atypical manifestations of leprosy to face the global challenge of eradicating this chronic deforming disease.
PB - Medknow PY - 2024 SP - 329 EP - 332 T2 - Asian Pacific Journal of Tropical Medicine TI - Borderline lepromatous leprosy: A case report UR - https://pdfs.journals.lww.com/aptm/2024/17070/borderline_lepromatous_leprosy__a_case_report.5.pdf?token=method|ExpireAbsolute;source|Journals;ttl|1722340575510;payload|mY8D3u1TCCsNvP5E421JYK6N6XICDamxByyYpaNzk7FKjTaa1Yz22MivkHZqjGP4kdS2v0J76WGAnHACH69s21C VL - 17 SN - 1995-7645, 2352-4146 ER -