ClinicClinical Image | DOI: https://doi.org/10.31579/2834-8664/010
Hansen’s Disease- Lepromatous Type
1 Assistant Professor, Dermatology, Command Hospital Air Force, Bengaluru, India.
2 Professor, Dermatology, Command Hospital, Lucknow, India.
3 Assistant Professor, Dermatology, 151 Base Hospital, Guwahati, India.
*Corresponding Author: Rohit Kothari, Assistant Professor, Dermatology, Command Hospital Air Force, Bengaluru, India.
Citation: Rohit Kothari, Deepak Vashisht, Ruby Venugopal (2022) Hansen’s Disease- Lepromatous Type. International Journal of clinical and Medical Case Reports, 1(2); DOI:10.31579/2834-8664/010
Copyright: © 2022 Rohit Kothari, This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Received: 27 September 2022 | Accepted: 21 November 2022 | Published: 29 December 2022
Keywords:
Abstract
A 36-year-old male presented with multiple skin-colored nodules involving both the ears and madarosis for last one year. There was no history of any other lesion elsewhere. Examination revealed lesions over the ear, ala of nose and diffusely infiltrated superciliary region (Panel A, B) and a normal sensory and motor system. Slit skin smear from the ear nodules revealed multiple acid-fast bacilli with globi formation and bacillary index of 6+ and morphological index (MI) of 35% (Panel C). He was diagnosed as Hansen’s disease-lepromatous type (LL) which is usually characterized by infiltrative lesions and nodules especially over face and edema of hands and feet. These patients carry a very high load of lepra bacilli and may be a potential source of infection. The patient was treated with conventional three drug multidrug therapy. Follow-up at one year revealed MI of zero and significant improvement in skin lesions.
Source(s) of support, funding- Nil
Presentation at meeting- Nil
Conflict of interest: None for all authors
Acknowledgement: The patient in this manuscript has given written informed consent to the publication of her case details and photographs.
Data availability statement: The data that support the findings of this study are available from the corresponding author upon reasonable request.
Author contribution statement: The manuscript has been read and approved by all the authors and each author believes that the manuscript represents honest work.
