01628nas a2200205 4500000000100000008004100001260001200042653002200054653001700076653005700093653001900150100001900169700003800188700002900226700002900255245007200284856026000356300001400616520079200630 2026 d c02/202610aLeprosy diagnosis10aSkin lesions10aSkin-related neglected tropical diseases (skin NTDs)10anordic patient1 aArnhild Binde 1 aJohannes Hendricus van der Stoep 1 aCamilla Sivesind Mehlum 1 aMonika Aneta Dzieniecka 00aAn unexpected leprosy diagnosis in Nordic patient with skin lesions uhttps://scholar.google.nl/scholar_url?url=https://www.termedia.pl/Journal/-55/pdf-57315-10%3Ffilename%3DAn%2520unexpected%2520leprosy.pdf&hl=nl&sa=X&d=9999077237014061095&ei=ywagaYiKHPKR6rQPgvCtuAo&scisig=AFtJQiybtlz1oKv3m_nfuhGsfkjg&oi=scholaralrt&hist=7 a355 - 3593 a

Leprosy is a rare chronic infectious disease that can be challenging to diagnose in non-endemic settings due to limited clinical experience among physicians and its marked clinical heterogeneity. We report the case of leprosy in a Nordic patient with an extensive travel history who presented with cutaneous lesions, nasal congestion, and peripheral neurological symptoms. Although the histopathological findings were not fully specific, modified Ziehl-Neelsen staining revealed numerous acid-fast bacilli within the tissue samples. Mycobacterium leprae was subsequently confirmed by molecular analyses. To minimise diagnostic delay and prevent disease progression, we provide an overview of the histopathological features of leprosy and discuss relevant differential diagnoses.