01262nas a2200229 4500000000100000008004100001260001000042653001900052653003400071653002200105653002200127100001900149700001400168700001400182700001200196245004500208856005200253300000800305490000700313520069800320022001401018 2025 d bLepra10aLeonine facies10aLepromatous leprosy diagnosis10afolliculotrophism10aMycosis Fungoides1 aKabbannavar YR1 aKamble PD1 aMahajan S1 aSingh S00aThe diagnostic dilemma of leonine facies uhttps://leprosyreview.org/article/96/4/20-24115 a1-50 v963 a
Leonine facies is defined as displaying facial features like that of a lion with prominent convexities and furrowed creases, classically seen in lepromatous leprosy and some other rare conditions. It develops in a very small proportion of patients with cutaneous T-cell lymphoma. Folliculotropic mycosis fungoides is an uncommon subtype of mycosis fungoides that is characterised by an atypical lymphoid infiltrate of the hair follicle epithelium. It mainly involves the head and neck and is often associated with alopecia and occasionally with mucinorrhoea. We report this case for its rarity and its association with hypohidrosis to highlight its resemblance to lepromatous leprosy.
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