While eczema is a common skin condition, not every chronic rash should be treated as such. A 54-year-old woman presented with persistent, erythematous-to-hyperpigmented lesions on her upper trunk. Despite repeated treatments for presumed eczema, her symptoms persisted. Upon referral, histopathological evaluation revealed dermal granulomas with Langhans giant cells and epithelioid histiocytes - findings consistent with borderline tuberculoid leprosy. She was promptly initiated on multibacillary multidrug therapy (MB-MDT). This case highlights that even in endemic regions, leprosy may be overlooked in atypical clinical presentations.
BT - Indian Journal of Leprosy DA - 05/2026 LA - ENG M3 - Article N2 -While eczema is a common skin condition, not every chronic rash should be treated as such. A 54-year-old woman presented with persistent, erythematous-to-hyperpigmented lesions on her upper trunk. Despite repeated treatments for presumed eczema, her symptoms persisted. Upon referral, histopathological evaluation revealed dermal granulomas with Langhans giant cells and epithelioid histiocytes - findings consistent with borderline tuberculoid leprosy. She was promptly initiated on multibacillary multidrug therapy (MB-MDT). This case highlights that even in endemic regions, leprosy may be overlooked in atypical clinical presentations.
PY - 2026 SP - 325 EP - 330 T2 - Indian Journal of Leprosy TI - From Eczema to Hansen’s Disease: A Case of Diagnostic Oversight UR - https://www.ijl.org.in/published-articles/30092026095804/10_Case_Report_Babu_et_al_July_Sept_2026_print_version.pdf VL - 98 ER -