Lepromatous leprosy (LL) represents the anergic pole of the leprosy spectrum and may rarely mimic histoid leprosy (HL). A45-year-old man presentedwith multiple shiny umbilicated papules and nodules over normal skin resembling HL. Slit-skin smear revealed numerous solid-staining bacilli (BI 5+), and histopathology showed diffuse foamy macrophages without spindle cells, confirming LL. The patient responded to multibacillary multidrug therapy. This case emphasizes the clinical overlap between LL and HL and the importance of bacteriological and histopathological evaluation for accurate diagnosis and management to prevent misclassification and ensure effective treatment.
BT - International Journal of Research in Dermatology DA - 2025 IS - 1 LA - ENG M3 - Article N2 -Lepromatous leprosy (LL) represents the anergic pole of the leprosy spectrum and may rarely mimic histoid leprosy (HL). A45-year-old man presentedwith multiple shiny umbilicated papules and nodules over normal skin resembling HL. Slit-skin smear revealed numerous solid-staining bacilli (BI 5+), and histopathology showed diffuse foamy macrophages without spindle cells, confirming LL. The patient responded to multibacillary multidrug therapy. This case emphasizes the clinical overlap between LL and HL and the importance of bacteriological and histopathological evaluation for accurate diagnosis and management to prevent misclassification and ensure effective treatment.
PB - Department of Dermatology, Maharajah’s Institute of Medical Sciences, Vizianagaram, AndhraPradesh, India PY - 2025 SP - 89 EP - 92 T2 - International Journal of Research in Dermatology TI - Lepromatous leprosy Hansen’s mimicking histoid Hansen’s: a case report UR - https://www.ijord.com/index.php/ijord/article/view/2148/1191 VL - 12 ER -