01405nas a2200205   4500000000100000008004100001653001700042653001000059653001200069653002000081653002000101653002200121653002600143245005400169856006500223300001000288490000600298050001700304520087800321       2013                            d10aScrotal skin10aNepal10aleprosy10aHistoid leprosy10aBacillary index10aMultidrug therapy10aMulti-drug resistance00aHistoid leprosy on scrotal skin : An unusual case  uhttp://www.nepjol.info/index.php/IJIM/article/view/8325/6774  a64-670 v2  aPAUDYAL 20133 aINTRODUCTION: Although no part of the skin is immune from invasion by mycobacterium leprae it is commonly seen over cooler parts of the body and very rarely found over external genitalia because of their warm temperature. Histoid leprosy is rare but a well-defined entity with specific clinical, histopathological, and bacteriological features.
 
CASE REPORT: A Punch biopsy measuring 3x3 cm of a 73 year old male having an erythematous plaque over scrotum since 2 months was received for histopathologic examination with the clinical differentials of pilomatrixoma and steatocystoma multiplex. Histopathologic and special stain slides revealed a feature of histoid leprosy.
 
CONCLUSION: Although rare, leprosy lesions may occur on the male genitalia and therefore in all male patients, history taking and examination of external genitalia should not be neglected.