TY - JOUR KW - Lepromatous leprosy diagnosis KW - Histoid Hansen KW - Crateriform and ulcerated lesions AU - Makudapathy S AU - Kuppu SC AB - Nodular lepromatous leprosy (LL) classically presents with diffuse infiltration, nodules, and plaques. However, unusual morphologies may lead to diagnostic confusion, particularly with histoid Hansen’s disease. We report a rare presentation of nodular lepromatous leprosy manifesting as crateriform and ulcerated papules and plaques, clinically simulating histoid leprosy. Detailed clinical evaluation, histopathology, and slit-skin smear examination aided in establishing the correct diagnosis. This case highlights the importance of recognizing atypical cutaneous manifestations of leprosy to avoid misclassification and ensure appropriate management. BT - International Journal of Research in Dermatology DA - 02/2026 DO - 10.18203/issn.2455-4529.intjresdermatol20260379 IS - 2 LA - ENG M3 - Article N2 - Nodular lepromatous leprosy (LL) classically presents with diffuse infiltration, nodules, and plaques. However, unusual morphologies may lead to diagnostic confusion, particularly with histoid Hansen’s disease. We report a rare presentation of nodular lepromatous leprosy manifesting as crateriform and ulcerated papules and plaques, clinically simulating histoid leprosy. Detailed clinical evaluation, histopathology, and slit-skin smear examination aided in establishing the correct diagnosis. This case highlights the importance of recognizing atypical cutaneous manifestations of leprosy to avoid misclassification and ensure appropriate management. PB - Medip Academy PY - 2026 SP - 178 EP - 180 T2 - International Journal of Research in Dermatology TI - Crateriform and ulcerated lesions of nodular lepromatous leprosy masquerading as histoid Hansen’s disease UR - https://www.researchgate.net/publication/401011175_Crateriform_and_ulcerated_lesions_of_nodular_lepromatous_leprosy_masquerading_as_histoid_Hansen's_disease/fulltext/69994d487247bc6473e25bdb/Crateriform-and-ulcerated-lesions-of-nodular-lepromatous-leprosy VL - 12 SN - 2455-4529 ER -