01467nas a2200193   4500000000100000008004100001260002700042653003400069653001900103653003800122100001800160700001300178245011200191856026000303300001200563490000700575520067700582022001401259       2026                            d  c02/2026bMedip Academy10aLepromatous leprosy diagnosis10aHistoid Hansen10aCrateriform and ulcerated lesions1 aMakudapathy S1 aKuppu SC00aCrateriform and ulcerated lesions of nodular lepromatous leprosy masquerading as histoid Hansen’s disease  uhttps://www.researchgate.net/publication/401011175_Crateriform_and_ulcerated_lesions_of_nodular_lepromatous_leprosy_masquerading_as_histoid_Hansen's_disease/fulltext/69994d487247bc6473e25bdb/Crateriform-and-ulcerated-lesions-of-nodular-lepromatous-leprosy  a178-1800 v123 a<jats:p>Nodular lepromatous leprosy (LL) classically presents with diffuse infiltration, nodules, and plaques. However, unusual morphologies may lead to diagnostic confusion, particularly with histoid Hansen’s disease. We report a rare presentation of nodular lepromatous leprosy manifesting as crateriform and ulcerated papules and plaques, clinically simulating histoid leprosy. Detailed clinical evaluation, histopathology, and slit-skin smear examination aided in establishing the correct diagnosis. This case highlights the importance of recognizing atypical cutaneous manifestations of leprosy to avoid misclassification and ensure appropriate management.</jats:p>  a2455-4529