Umbilicated Lesions in a de novo case of histoid leprosy

Umbilicated Papules as a Rare Manifestation of Borderline Lepromatous Leprosy

“…Umbilicated lesions are rarely seen in leprosy and may be seen in histoid, lepromatous, and borderline lepromatous leprosy. [ 1 2 3 4 ] We believe that such umbilicated lesions are a part of disease evolution, and may be seen when the minute papules progress toward acquiring annular configuration (as evident from the examination of the lesions on the back). [ 5 ] Another possible reason might be epidermal necrosis in rapidly evolving papulonodules (as seen in molluscum contagiosum)[ 6 ] due to dermal infiltration.…”

A masquerading solitary skin lesion: Unusual presentation of multibacillary leprosy with dermoscopic assistance in diagnosis

“…), therefore, also known as a great mimicker. [ 1 2 ] Still, the disease is more likely to present with typical manifestations, with a field diagnosis easily considered/possible in the “endemic” regions with the WHO's cardinal signs. [ 3 ] However, a number of atypical presentations of the disease have been described, which may sometimes present a challenge even to the trained eyes of an insightful dermatologist.…”