01045nas a2200145   4500000000100000008004100001100001200042700001300054700001400067700001100081700001000092245004300102490000700145520074700152       2016                            d1 aJamal S1 aAnwar MI1 aKapadia N1 aJama A1 aZia M00aDeck chair sign in lepromatous leprosy0 v263 a<p>A 40-year-old male presented with generalized asymptomatic cutaneous infiltrated plaques involving trunk, limbs and face. He had acral sensory loss along with symmetrical nerve thickening and enlargement. Slit-skin smear revealed multiple acid-fast bacilli (AFB) on Wade-Fite staining, thus confirming the diagnosis of lepromatous leprosy. Patient had a remarkable sparing of skin creases at various sites including trunk, antecubital fossa and axillary flexures suggestive of a positive “Deck Chair Sign”. This sign has been described in literature mostly in papuloerythroderma of Ofuji and other related dermatosis. To our knowledge this is the first case report of ‘lepromatous leprosy with deck chair sign’ from Pakistan.</p>