01051nas a2200181 4500000000100000008004100001260002200042653002400064653005700088100001300145700001400158700001200172700001300184245010500197300002000302520052200322022002500844 2022 d bSAGE Publications10aInfectious Diseases10aPublic Health, Environmental and Occupational Health1 aGurjar R1 aKhullar G1 aDewan K1 aYadav AK00aSolitary plaque of borderline lepromatous leprosy clinically masquerading as paucibacillary leprosy a0049475522113713 a

Borderline lepromatous (BL) leprosy typically manifests as numerous asymmetric ill-defined macules or infiltrated plaques. Localized cutaneous involvement in BL leprosy is infrequently reported. Type 2 reaction (T2R), an immune complex syndrome, occurs in patients with BL and lepromatous leprosy, as crops of tender evanescent papules or nodules with constitutional symptoms. T2R can also present with various atypical morphologies and rarely as type 1 reaction (T1R), thereby creating a diagnostic dilemma.

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