Images in Clinical Tropical Medicine: Borderline Lepromatous Leprosy in an Italian Man

We report a 77-year-old man from Italy with a painful, red right eye with decreased vision (Figure 1A) and multiple asymptomatic erythematous infiltrated nodules and edematous plaques on the face (Figure 1B), tongue (Figure 1C), and trunk and extremities (Figure 1D). Lesions appeared on his face 20...

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Bibliographic Details
Published in:The American journal of tropical medicine and hygiene 2013-02, Vol.88 (2), p.211-211
Main Authors: Massone, Cesare, Clapasson, Andrea, Nunzi, Enrico
Format: Article
Language:English
Online Access:Get full text
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Summary:We report a 77-year-old man from Italy with a painful, red right eye with decreased vision (Figure 1A) and multiple asymptomatic erythematous infiltrated nodules and edematous plaques on the face (Figure 1B), tongue (Figure 1C), and trunk and extremities (Figure 1D). Lesions appeared on his face 20 years ago and progressively enlarged and diffused on the trunk. Two of his relatives had been affected by lepromatous leprosy. A skin biopsy specimen showed a diffuse infiltrate of vacuolar macrophages engulfed with mycobacteria (Figure 1E) and the focal presence in the dermis of few multinucleated giant cells and a focal infiltrate of neutrophils.
ISSN:0002-9637
DOI:10.4269/ajtmh.12-0214