00983nas a2200109   4500000000100000008004100001100001800042700001700060245007800077856005400155520066400209       2019                            d1 aCamaclang MLA1 aCubillan ELA00aLepromatous leprosy and human immunodeficiency virus: A rare co-infection  uhttps://www.actamedicaphilippina.org/article/82473 a<div>We report a 23-year-old male with lepromatous leprosy atypically presenting with 5-year history of&nbsp;asymptomatic, verrucous papules, and nodules. Human Immunodeficiency Virus (HIV) testing was positive</div>

<div>with depressed CD4 count. In HIV/leprosy co-infection, most of the documented patients were diagnosed with&nbsp;paucibacillary leprosy as immune reconstitution disease (IRD) from treatment-induced immunological recovery.&nbsp;Rarely, multibacillary lepromatous leprosy is encountered in the setting of untreated, severe immunodeficiency.&nbsp;Atypical clinical presentation warrants investigation for concurrent HIV infection.</div>