01205nas a2200193   4500000000100000008004100001260002200042653005700064653002400121100001700145700001400162700001200176700001400188700001400202245011100216300002000327520063900347022002500986       2020                            d  bSAGE Publications10aPublic Health, Environmental and Occupational Health10aInfectious Diseases1 aMathachan SR1 aSardana K1 aAhuja A1 aLavania M1 aAgrawal D00aZosteriform multidermatomal nodules and plaques in a case of lepromatous leprosy: an uncommon presentation  a0049475520932473 a<jats:p> Leprosy is caused by the obligate intracellular organism Mycobacterium leprae which mainly affects the skin and nervous system. The course of the disease is determined by host immunity, it is thus believed that in lepromatous leprosy (LL), all manifestations are bilaterally symmetrical. This is because of the inability of the host to mount an adequate cell-mediated immune response, resulting in widespread haematogenous dissemination of bacilli. Varied manifestations of LL have been reported; however, a multidermatomal pattern of nodules is hitherto unreported and we suggest a hypothesis for its presentation. </jats:p>  a0049-4755, 1758-1133