@article{102179, keywords = {Lepromatous leprosy diagnosis, Challenging diagnoses, Lymph Nodes}, author = {Reis VHMD and Miola AC and Ferreira CAZ and Milagres SDP and Lastória JC and Schmitt JV}, title = {Borderline lepromatous leprosy with lymph node infiltration: Dermatology helps to clarify challenging diagnoses}, abstract = {

Eliminating the occurrence of leprosy (L) is a global goal of the WHO. For this purpose, combating the disease in Brazil is of utmost importance, since the country accounts for 13% of the absolute number of new cases of the disease worldwide.

Early identification of possible cases of L in the community, whether by general practitioners, medical doctors of different specialties, or dermatologists, is essential to reduce the spread of the disease and combat sequelae related to late diagnosis. Therefore, it is essential to invest in diagnostic training for the medical community, nurses and community health agents.

It is necessary, however, to keep in mind that many cases do not follow the classic disease presentation, making the diagnosis difficult, which also makes it necessary to get to know disease presentations in which the manifestations go beyond the involvement of cutaneous and neurological sites.

The present report describes a 48-year-old male patient with testicular pain radiating to the inguinal region, chills, insomnia, night sweats and spontaneous weight loss of 9 kg in two months. 

}, year = {2025}, journal = {Anais Brasileiros de Dermatologia}, pages = {1-4}, publisher = {Elsevier BV}, issn = {0365-0596}, url = {https://www.sciencedirect.com/science/article/pii/S0365059625000339?via%3Dihub}, doi = {10.1016/j.abd.2024.10.004}, language = {eng}, }