01376nas a2200277   4500000000100000008004100001260001300042653001200055653001100067653002400078653002500102653000900127653001600136653000900152100001200161700001300173700001500186700001600201245004600217856005900263300001000322490000700332050003200339520071300371022001401084       1991                            d  c1991 Jun10aForearm10aHumans10aLeprosy, Borderline10aLeprosy, lepromatous10aMale10aMiddle Aged10aSkin1 aJha P K1 aTalwar S1 aSuresh M S1 aPanvelkar V00aLocalized borderline lepromatous leprosy.  uhttp://leprev.ilsl.br/pdfs/1991/v62n2/pdf/v62n2a14.pdf  a212-60 v62  aInfolep Library - available3 a<p>A 48-year-old soldier presented with 3 small leprosy lesions localized over the flexor area of the forearm. There was no nerve thickening and clinically the lesions looked like borderline-tuberculoid leprosy. However, these lesions demonstrated a bacteriological index (BI) of 4+ while no acid-fast bacilli (AFB) could be demonstrated from any other site of the body. A lepromin test was negative. Histologically evidence of borderline lepromatous leprosy was conspicuous. The case was diagnosed as localized borderline lepromatous-leprosy and treated with multidrug therapy. After 1 year of treatment, the lesions regressed, a lepromin test was positive (5 mm) and the BI from the lesions fell to 1+.</p>  a0305-7518