01230nas a2200145   4500000000100000008004100001100001300042700001300055700001700068245009900085856005700184490000600241520082300247022001401070       2019                            d1 aSherpa P1 aAmatya A1 aKakshapati T00aBorderline tuberculoid leprosy, lupus vulgaris and pulmonary tuberculosis: A  rare association  uhttps://nepjol.info/index.php/JPN/article/view/233820 v93 a<p>Tuberculosis and leprosy are chronic mycobacterial infections that elicit granulomatous inflammation. The incidence of co-existence of pulmonary tuberculosis and leprosy has ranged from 2.5%-13.4 percent. Cutaneous tuberculosis is a variant of extrapulmonary tuberculosis and its simultaneous occurrence with leprosy is uncommon. The concomitant presence of leprosy, pulmonary as well as cutaneous tuberculosis is rare.</p>

<p>We report a case of borderline tuberculoid leprosy, lupus vulgaris and pulmonary tuberculosis in a 45 years male who presented to the dermatology outpatient department with three morphologically distinct skin lesions over the posterior aspect of right leg. Ours is presumably the first case reported from Nepal, a country where both of these mycobacterial infections are endemic.</p>
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