Leprosy: An unusual presentation

Arakkal, Geeta Kiran; Vani, Sudha; Kasetty, Harish Kumar; Varala, Sirisha

doi:10.4103/2230-8598.151276

Cited by 3 publications

(3 citation statements)

References 2 publications

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“…1 Leprosy has a predilection for cooler and trauma prone areas of the body. 2 Ear and nasal septum are well recognised regions to be involved in leprosy owing to their cool temperature. Factors responsible for predilection of bacilli in these areas are because of their high ratio of surface area to tissue volume and distinctive pattern of vasculature as developed neonatally.…”

Section: Introductionmentioning

confidence: 99%

“…4 Lepromatous leprosy can present with varied manifestations like hyperpigmented patches, involvement of palms and soles, asymptomatic swelling over neck misdiagnosed as cervical lymphadenitis, granuloma annulare, erythema multiforme-like presentation, myositis, lymphadenopathy and so on. 2,[5][6][7] We report a case of lepromatous leprosy presenting as nodules over the nose mimicking rhinophyma.…”

Section: Introductionmentioning

confidence: 99%

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Lepromatous leprosy masquerading as rhinophyma

Krishna

Pinto

Shenoy

et al. 2015

Int J Otorhinolaryngol Head Neck Surg

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<p>Leprosy a major global health problem, especially in the developing world, is an infectious disease caused by <em>Mycobacterium leprae</em>. Leprosy has a predilection to with cooler areas of the body. Lepromatous leprosy presents with varied manifestations like nodules, cervical lymphadenitis, hyperpigmented patches and other presentations which can mimic various other diseases and pose a diagnostic challenge in endemic areas. We report a case presenting with nodular infiltration of the nose mimicking rhinophyma who presented with faint reddish swelling over the nose which progressed to nodular infiltration. There was bilateral symmetrical thickening of nerves following which diagnosis was confirmed by slit skin smear and the patient was started on multibacillary multidrug therapy. The importance of rightly diagnosing cases presenting as nodules that mimic rhinophyma is important because of the infectious nature of the disease which pose a threat to the community.</p>

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Lepromatous leprosy masquerading as rhinophyma

Krishna

Pinto

Shenoy

et al. 2015

Int J Otorhinolaryngol Head Neck Surg

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“…The exact mechanism of primary hyperpigmentation in leprosy is unclear, and upregulation of melanogenic stimulating factors such as fibroblast growth factor, hepatocyte growth factor, and stem cell factors owing to neurohormonal or biochemical stimulations has been implicated. 11,12 The clinical presentation of the lesions on the palms and soles corresponded with the type of leprosy. The lesions in LL are numerically more in number, and this increases the chances of occurrence of lesions on the palms and soles also.…”

mentioning

confidence: 99%

Palmoplantar Involvement in Leprosy: A Clinicopathological Study

Dabas

Narang

Dogra

et al. 2021

The American Journal of Tropical Medicine and Hygiene

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Palmoplantar involvement has been infrequently reported in leprosy and is an easily misdiagnosed entity. The institutional database of leprosy clinic from 2015 to 2018 was accessed. Details pertaining to demography, clinical presentation, comorbidities (if any), treatment received, and outcome were analyzed in leprosy patients with palmoplantar involvement. Among the 520 patients studied, the involvement of palms and/or soles was reported in 49 (9.4%) patients. Isolated palm involvement was the most frequent (26/49, 53.1%), followed by both palm and sole involvement (12/49, 24.5%) and sole involvement alone (11/49, 22.4%). A higher incidence of lepra reactions and disabilities was noted in patients with palmoplantar involvement than in those without (P < 0.0001). Palmoplantar involvement in leprosy, although uncommon, is associated with a higher risk of reactions and disabilities. A knowledge of this end of the spectrum can help in maintaining a high index of suspicion and reduce misdiagnosis.

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Leprosy presenting with papulosquamous skin lesions in a case of human immunodeficiency virus infection

Sinha

Kinra

et al. 2021

J Mar Med Soc

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Leprosy: An unusual presentation

Cited by 3 publications

References 2 publications

Lepromatous leprosy masquerading as rhinophyma

Lepromatous leprosy masquerading as rhinophyma

Palmoplantar Involvement in Leprosy: A Clinicopathological Study

Leprosy presenting with papulosquamous skin lesions in a case of human immunodeficiency virus infection

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