01495nas a2200241   4500000000100000008004100001260001300042653001000055653001100065653002800076653002200104653001100126653001200137653000900149653001600158100001600174245006200190300001100252490000700263050003200270520093700302022001401239       1982                            d  c1982 Apr10aAdult10aBiopsy10aDiagnosis, Differential10aFollow-Up Studies10aHumans10aleprosy10aMale10aSarcoidosis1 aRamanujam K00aTuberculoid leprosy or sarcoidosis? A diagnostic dilemma.  a318-230 v54  aInfolep Library - available3 a<p>During an intensive survey in a leprosy endemic area in South India, a young male adult was detected with infiltrated skin lesions and diagnosed as a case of major tuberculoid leprosy. The presence of leprosy in the individual could not be clinically established, despite a histological diagnosis of tuberculoid leprosy made on his skin biopsy. In a eighteen year follow up during which he was examined on six occasions, the skin patches continued very much the same in appearance with a progressive increase in size; he was re-biopsied from the same lesion thrice and was declared tuberculoid or borderline tuberculoid leprosy. At no time did the clinical findings warrant a diagnosis of leprosy but suggested that it could be sarcoidosis or lupus vulgaris. The biopsy done for the fifth time from the same skin lesion during the seventh examination and from the site of Kveim test confirmed the condition to be sarcoidosis.</p>  a0024-1024