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1.
World Health Organization , 2019. Global Leprosy (Hansen Disease) Update, 2019: Time to Step-Up Prevention Initiatives. Available at: https://apps.who.int/iris/bitstream/handle/10665/334140/WER9536-eng-fre.pdf?sequence=1&isAllowed=y. Accessed May 24, 2021.
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2.
Moschella SL , 2004. An update on the diagnosis and treatment of leprosy. J Am Acad Dermatol 51: 417–426.
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3.
Scollard DM , Adams LB , Gillis TP , Krahenbuhl JL , Truman RW , Williams DL , 2006. The continuing challenges of leprosy. Clin Microbiol Rev 19: 338–381.
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4.
Desikan KV , 2012. Elimination of leprosy & possibility of eradication – the Indian scenario. Indian J Med Res 135: 3–5.
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5.
Goyal T , Varshney A , Bakshi SK , Sharma V , 2015. Lymph node abscess and cardiac involvement in a patient with nodular lepromatous leprosy (LL) with erythema nodosum leprosum (ENL): a rare occurrence. Lepr Rev 86: 112–116.
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6.
Karat AB , Karat S , Job CK , Sudarsanam D , 1968. Acute necrotizing lepromatous lymphadenitis: an erythema-nodosum-leprosum-like reaction in lymph nodes. BMJ 4: 223–224.
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7.
Bjorvatn B , Barnetson RS , Kronvall G , 1976. Immune complexes and complement hypercatabolism in patients with leprosy. Clin Exp Immunol 26: 388–396.
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8.
Nath I , Vemuri N , Reddi AL , Jain S , Brooks P , Colston MJ , Misra RS , Ramesh V , 2000. The effect of antigen-presenting cells on the cytokine profiles of stable and reactional lepromatous leprosy patients. Immunol Lett 75: 69–76.
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Case Report: Lepromatous Leprosy Masquerading as Acute Suppurative Lymphadenitis
Mahadev Meena
Mahadev Meena
Department of Medicine, All India Institute of Medical Sciences, Bhopal, India;
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Rajnish Joshi
Rajnish Joshi
Department of Medicine, All India Institute of Medical Sciences, Bhopal, India;
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Vaibhav Yadav
Vaibhav Yadav
Department of Medicine, All India Institute of Medical Sciences, Bhopal, India;
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Prachi Singh
Prachi Singh
Department of Medicine, All India Institute of Medical Sciences, Bhopal, India;
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Shreya K
Shreya K
Department of Dermatology, All India Institute of Medical Sciences, Bhopal, India;
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Garima Pandey
Garima Pandey
Department of Pathology, All India Institute of Medical Sciences, Bhopal, India
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ABSTRACT.
Leprosy is a chronic cutaneous infection. It is usually characterized by thickened nerves and maculo-anesthetic patches. Leprosy often has an unusual presentation, which is a diagnostic challenge. In this case report, we present a case of an elderly male who presented with fever and chronic pus-draining axillary, cervical, and inguinal lymph nodes. He also had a weak left foot for the previous 5 months. During his hospital stay, he developed additional papular lesions over his extremities. We performed fine needle aspiration from the lymph nodes and skin biopsy, which were suggestive of lepromatous leprosy. We initiated him on antileprosy medication. On follow-up, he was responsive to therapy. Although skin and nerve involvement in leprosy is common, this case had an atypical presentation of discharging lymph nodes.
Author Notes
Authors’ addresses: Mahadev Meena, Rajnish Joshi, Vaibhav Yadav, and Prachi Singh, Department of Medicine, All India Institute of Medical Sciences, Bhopal, India, E-mails: drmahadev.snmc@gmail.co, rajnish.genmed@aiimsbhopal.edu.in, vaibhav1125.90@gmail.com, and prachi4bharat@gmail.com. Shreya K, Department of Dermatology, All India Institute of Medical Sciences, Bhopal, India, E-mail: shreyakgowda@gmail.com. Garima Pandey, Department of Pathology, All India Institute of Medical Sciences, Bhopal, India, E-mail: mygarima1993@gmail.com.
ProCite
RefWorks
Reference Manager
BibTeX
Zotero
EndNote
-
1.
World Health Organization , 2019. Global Leprosy (Hansen Disease) Update, 2019: Time to Step-Up Prevention Initiatives. Available at: https://apps.who.int/iris/bitstream/handle/10665/334140/WER9536-eng-fre.pdf?sequence=1&isAllowed=y. Accessed May 24, 2021.
-
2.
Moschella SL , 2004. An update on the diagnosis and treatment of leprosy. J Am Acad Dermatol 51: 417–426.
-
3.
Scollard DM , Adams LB , Gillis TP , Krahenbuhl JL , Truman RW , Williams DL , 2006. The continuing challenges of leprosy. Clin Microbiol Rev 19: 338–381.
-
4.
Desikan KV , 2012. Elimination of leprosy & possibility of eradication – the Indian scenario. Indian J Med Res 135: 3–5.
-
5.
Goyal T , Varshney A , Bakshi SK , Sharma V , 2015. Lymph node abscess and cardiac involvement in a patient with nodular lepromatous leprosy (LL) with erythema nodosum leprosum (ENL): a rare occurrence. Lepr Rev 86: 112–116.
-
6.
Karat AB , Karat S , Job CK , Sudarsanam D , 1968. Acute necrotizing lepromatous lymphadenitis: an erythema-nodosum-leprosum-like reaction in lymph nodes. BMJ 4: 223–224.
-
7.
Bjorvatn B , Barnetson RS , Kronvall G , 1976. Immune complexes and complement hypercatabolism in patients with leprosy. Clin Exp Immunol 26: 388–396.
-
8.
Nath I , Vemuri N , Reddi AL , Jain S , Brooks P , Colston MJ , Misra RS , Ramesh V , 2000. The effect of antigen-presenting cells on the cytokine profiles of stable and reactional lepromatous leprosy patients. Immunol Lett 75: 69–76.
| Past two years | Past Year | Past 30 Days | |
|---|---|---|---|
| Abstract Views | 2342 | 2342 | 52 |
| Full Text Views | 345 | 345 | 93 |
| PDF Downloads | 85 | 85 | 1 |