01959nas a2200181   4500000000100000008004100001653001200042653002600054653002000080653001000100653001300110100001200123700001300135245014000148856023100288300000800519520125000527       2025                            d10aLeprosy10aMycobacterium leprae 10aSlit skin smear10aUlcer10aAtypical1 aRawat P1 aMishra R00aMissed or misjudged? Revisiting Leprosy Through Six Cases: A Case Series of long-standing diagnostic dilemma in Patients of North India  uhttps://healthcare-bulletin.co.uk/article/missed-or-misjudged-revisiting-leprosy-through-six-cases-a-case-series-of-long-standing-diagnostic-dilemma-in-patients-of-north-india-4093/#:~:text=Cite%20this%20article-,Download,-PDF  a1-43 a<p>Leprosy as medical malady presents with different clinical spectra from tuberculoid to lepromatous profile in typical presentations. However, sometimes leprosy can be considered as a dissimulated disease, mainly when presented as atypical cases leading to mistaken diagnosis and causing dilemma for clinicians. In this case series our objective was to report case series of six patients who came to mycobacteriology laboratory for slit skin smear with partial diagnosis of acute myocardial infarction and arterial and venous thrombosis and with chronic neurological symptoms; the sixth patient was referred with a suspicion of infected skin ulcer. Positive findings in these patients included hypo-aesthetic patches, claw hand, madarosis and ulcers.Unfortunately, in many patients, leprosy was often misdiagnosed as other medical conditions like sarcoidosis, syphilis and other dermato-neurological conditions for long periods, thus delaying initiation of specific treatment. This current case series is intended to increase physicians’ awareness to recognize unusual and atypical leprosy cases which are presented as unusual forms, so that these can be timely diagnosed, promptly treated and sequelae or debilitation can be prevented</p>