01353nas a2200253   4500000000100000008004100001260001200042653001500054653001700069653002700086653002300113653001100136653001300147100001200160700001700172700001800189700001200207700001600219245007000235856012000305300001400425490000700439520065300446       2026                            d  c05/202610aEvaluation10aMisdiagnosis10aBorderline tuberculoid10aHansen’s disease10aEczema10a Leprosy1 aD Babu 1 aS Fernandes 1 a M Fernandes 1 aR Bhat 1 aK G Sundar 00aFrom Eczema to Hansen’s Disease: A Case of Diagnostic Oversight  uhttps://www.ijl.org.in/published-articles/30092026095804/10_Case_Report_Babu_et_al_July_Sept_2026_print_version.pdf  a325 - 3300 v983 a<p>While eczema is a common skin condition, not every chronic rash should be treated as such. A 54-year-old woman presented with persistent, erythematous-to-hyperpigmented lesions on her upper trunk. Despite repeated treatments for presumed eczema, her symptoms persisted. Upon referral, histopathological evaluation revealed dermal granulomas with Langhans giant cells and epithelioid histiocytes - findings consistent with borderline tuberculoid leprosy. She was promptly initiated on multibacillary multidrug therapy (MB-MDT). This case highlights that even in endemic regions, leprosy may be overlooked in atypical clinical presentations.</p>