Case number 10: Borderline lepromatous, lepromatous or histoid leprosy?

Leprosy Mailing List – October 12th, 2011

Ref.:    Case number 10: Borderline lepromatous, lepromatous or histoid leprosy?
From:  H K Kar, New Delhi, India

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Dear Dr. Noto,

I agree with the comments of Dr Khalid on case 10 (attachment).  These are classical histoid nodules present over the apparently normal looking skin on the pinnae of the ear.  It is not possible have final conclusions from one picture but, history, slit-skin smear examination to look into bacteriological index (BI) and morphological index (MI) as well as histopathology will clinch the diagnosis of histoid leprosy.

Regards,

Dr (Prof.) H K Kar
Consultant & HOD
Department of Dermatology, STD & Leprosy
P.G.I.M.E.R. and Dr Ram Manohar Lohia Hospital
Baba Kharag Singh Marg
New Delhi-110001