Abstract
This case report depicts a case of histopathologically confirmed polar lepromatous (LL) leprosy with a bacterial index of 4+. He experienced recurrent episodes of erythema nodosum leprosum (ENL) in the first 5 years after diagnosis. Skin smears became negative after 6 years of dapsone monotherapy and have remained negative since that time. At 23 years after diagnosis, the patient had developed cataracts and underwent intracapsular cataract extractions with broad-based iridectomies. In one of the iris specimens, histopathologic examination revealed a focal granuloma composed of epithelioid cells. Subsequently a lepromin skin test showed a positive Mitsuda reaction with a borderline tuberculoid histopathology. This clearly illustrates the immunological upgrading of a polar lepromatous patient, perceived first in the iris tissue.
Original language | English (US) |
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Pages (from-to) | 152-155 |
Number of pages | 4 |
Journal | International Journal of Leprosy and Other Mycobacterial Diseases |
Volume | 68 |
Issue number | 2 |
State | Published - Jan 1 2000 |
Externally published | Yes |
ASJC Scopus subject areas
- Dermatology