Leprosy Mailing List – January 27, 2018
Ref.: (LML) Request for advice on HIV and Leprosy
From: H K Kar, New Delhi, India
I agree with Ben (LML, January 24, 2018).
Nodular infiltrative lessons over the face indicates d/d nodular LL, Cutaneous lymphoma, PKDL, and sarcoidosis. In HIV positive patients in the absence of AFB positivity, Cut. Lymphoma should be considered. Therefore, in this case skin biopsy for histopathological examination is must along with repeat SSS exam. for AFB.
In polar LL as Ben gave his opinion, peripheral sensory loss is not very much marked. Rather in HIV positive patient itching is a common symptom for various skin pathology including eosinophilic folliculitis, scabies and fungal infections.
Dr H K Kar
LML - S Deepak, B Naafs, S Noto and P Schreuder
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