Histoid leprosy is an uncommon form of lepromatous leprosy with distinct clinical, histopathological, immunological, and bacteriological features. This variant usually occurs in multibacillary patients who have irregular or inadequate treatment. Herein, we report a case of de novo histoid leprosy diagnosed in a patient from Cali, Colombia. In endemic areas, histoid leprosy should be in the differential diagnosis of any patient presenting with skin nodules. Early diagnosis and appropriate treatment are recommended for mitigating the impact of histoid leprosy cases, which are important reservoirs of Mycobacterium leprae.
2016 1 , which describes an unusual case of histoid leprosy in an adult male from Cali, Colombia, who did not exhibit previous clinical signs or treatment of the disease. While we appreciate and agree with their observations, we would like to provide some information about the management and diagnosis of leprosy in general and specifically in Colombia.
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