01095nas a2200289 4500000000100000008004100001260001300042653001600055653002800071653002100099653001100120653001700131653001100148653001200159653001000171653001600181653001300197653001600210653002500226653001700251100001500268245005900283300001000342490000700352520043200359022001400791 1987 d c1987 Sep10aBone Marrow10aDiagnosis, Differential10aErythema Nodosum10aFemale10aHepatomegaly10aHumans10aleprosy10aLiver10aLymph Nodes10aLymphoma10aMiddle Aged10aMycobacterium leprae10aSplenomegaly1 aAzulay R D00aPrimary visceral virchowian (lepromatous) hanseniasis. a450-30 v553 a

A case of primary visceral virchowian hanseniasis is presented. The onset and symptoms of the disease made one think that it was a lymphoma because of the severe enlargement of the liver, spleen, and lymph nodes. Biopsies of the liver, lymph nodes, and bone marrow revealed virchowian infiltration with acid-fast bacilli and globi. The skin was free of lesions and negative to bacilli, and there were no neural symptoms.

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