01355nas a2200205   4500000000100000008004100001260011700042653001600159653002300175653002300198100001500221700001800236700002000254700002400274245007900298856006500377300001200442490000700454520068800461       2025                            d  c2025bDepartment of Dermatology, Maharajah’s Institute of Medical Sciences, Vizianagaram, AndhraPradesh, India10aLepromatous10aLeprosy Hansen’s10aHistoid Hansen’s1 aK. Sowmya 1 aB. Rekha Ran 1 aK. V. T. Gopal 1 aP.V. Krishnam Raju 00aLepromatous leprosy Hansen’s mimicking histoid Hansen’s: a case report  uhttps://www.ijord.com/index.php/ijord/article/view/2148/1191  a89 - 920 v123 a<p>Lepromatous leprosy (LL) represents the anergic pole of the leprosy spectrum and may rarely mimic histoid leprosy (HL). A45-year-old man presentedwith multiple shiny umbilicated papules and nodules over normal skin resembling HL. Slit-skin smear revealed numerous solid-staining bacilli (BI 5+), and histopathology showed diffuse foamy macrophages without spindle cells, confirming LL. The patient responded to multibacillary multidrug therapy. This case emphasizes the clinical overlap between LL and HL and the importance of bacteriological and histopathological evaluation for accurate diagnosis and management to prevent misclassification and ensure effective treatment.</p>