01774nas a2200289   4500000000100000008004100001260001000042653002300052653002700075653001700102653001800119653001400137653002600151100001300177700001600190700001200206700001500218700001700233700001300250700001200263245007000275856005200345300000800397490000700405520105800412022001401470       2025                            d  bLepra10aHansen’s disease10aa typical presentation10acold abscess10asporotrichoid10aDiagnosis10adiagnostic challenges1 aAswini R1 aVarghese AE1 aBenny B1 aZacharia M1 aAjithkumar K1 aSajeev S1 aGopal D00aHansen’s disease presenting as sporotrichoid subcutaneous cysts  uhttps://leprosyreview.org/article/96/4/20-25079  a1-50 v963 a<p>Hansen’s disease (HD) is known for its varied clinical presentations. We report a case of a 28-year-old male presenting with multiple asymptomatic subcutaneous cysts in a sporotrichoid pattern on his left lower limb. The patient presented without obvious neurological deficits, which misled the diagnosis. Relevant investigations and non-response to empirical therapy helped to rule out various differential diagnoses, including atypical mycobacterial infections, sporotrichosis and phaeohyphomycosis. The diagnosis of Hansen’s disease was achieved through MRI and&nbsp;highresolution&nbsp;ultrasonography (HR USG) by demonstrating nerve thickening and nerve abscesses along the common peroneal and superficial peroneal nerve respectively, and nerve conduction studies, which revealed absent sensory neural action potentials in the superficial peroneal nerve and reduced amplitude with prolonged latency of the common peroneal nerve’s motor action potential. This case highlights an unusual presentation of Hansen’s disease and the role</p>
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