Localized lepromatous leprosy

In this report a 37 year old Filipino man presented with erythematous lesions localized on the right elbow and left knee for 9 months associated with diminished sensation. Clinically the patient presented with localized lesions mimicking tuberculoid leprosy, although a biopsy from the lesion revealed lepromatous type leprosy. A skin biopsy showed numerous acid fast bacilli and fat laden macrophages with a paucity of lymphocytes, Slit skin smear examination for M. leprae from the lesion revealed a Bacteriological Index (BI) of 6+ which are compatible with lepromatous leprosy .
Source: Journal of Dermatology and Dermatologic Surgery - Category: Dermatology Source Type: research