01183nas a2200133 4500000000100000008004100001100001400042700001300056245010600069856005100175300001400226490000700240520080200247 2016 d1 aPradhan S1 aSekhar C00aGenital lepromatous leprosy with bilateral inguinal lymhadenopathy simulating lymphogranuloma venerum uhttps://leprosyreview.org/article/87/3/40-5408 a405–4080 v873 a

Summary Involvement of genitalia is rare in leprosy. A 35 year old man presented with multiple papules and nodules over his scotum, the shaft of his penis, glans and prepuce along with bilateral painless inguinal lymphadenopathy and thereby simulating lymphogrnuloma venerum (LGV). A detailed dermatological examination along with cytology from a lymph node and histopathology of a nodule over the glans and lepromatous leprosy in globi in inguinal lymphnodes confirmed the diagnosis of Hansen’s disease. The patient was started with the WHO MDT adult regimen for multibacillary leprosy and the nodules and lymph nodes decreased in size after 1 month of treatment. The case is unique for the extensive involvement of genitalia and bilateral inguinal lymphadenopathy which simulated LGV.