01477nas a2200277   4500000000100000008004100001260001300042653001500055653001100070653002800081653001100109653001200120653001600132653002300148653000900171653001600180653001700196100001400213700001600227700001300243245006700256300000900323490000700332520084600339022001401185       1989                            d  c1989 Jan10aAdolescent10aBiopsy10aDiagnosis, Differential10aHumans10aleprosy10aLymph Nodes10aLymphatic Diseases10aMale10aMiddle Aged10aSaudi Arabia1 aSatti M B1 aal-Mohaya S1 aOmer A S00aHansen's disease: a cause of lymphadenopathy in endemic areas.  a80-40 v413 a<p>In this paper we report two unusual cases of leprosy, both presenting with lymphadenopathy as the initial manifestation of the disease. Lymphadenopathy was the dominant presenting complaint of the first patient in whom skin lesions were absent. A diagnosis of lepromatous leprosy was made only after a lymph node biopsy. Following this diagnosis neural involvement was evident. In the second patient the lymphadenopathy was associated with polyarthritis leading to a false clinical diagnosis of Still's disease. This unusual presentation in both cases led to a delay in the final diagnosis which was based on histopathological examination of lymph nodes. The clinical and histopathological features of both patients are discussed. Superficial nerves should be palpated in all patients presenting with lymphadenopathy in endemic areas.</p>  a0041-3232