01130nas a2200217   4500000000100000008004100001260001700042653002800059653001100087653001100098653001200109653001600121653001200137653001900149100001800168245003900186300000900225490000700234520065700241022001400898       1979                            d  c1979 Jan-Feb10aDiagnosis, Differential10aFemale10aHumans10aleprosy10aMiddle Aged10aNeuroma10aSkin Neoplasms1 aMcDougall A C00aDermal neuroma simulating leprosy.  a46-90 v183 a<p>A 45-year-old Pakistani woman reported to a clinic in Karachi with a one-year history of hypopigmented lesions on the left side of the face and neck. On first presentation the lesions were rough-surfaced and hypoaesthetic; the clinical findings in this highly endemic area of the world suggested macular tuberculoid leprosy. The patient was treated with dapsone for a period of 5 years, but with no change in the appearance or size of the lesions. Subsequent biopsies revealed an unusual neuromatoid pathology in the dermis, in which axons were absent on light and electron microscopy, with neurilemmoma being considered as a possible diagnosis.</p>  a0011-9059