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An unusual presentation in relapse case of histoid leprosy

Title: An unusual presentation in relapse case of histoid leprosy
Authors: Mathur, Mahesh; Paudel, Sumit; Bhattarai, Nabita; Regmi, Sandhya; Karki, Sambidha; Shrestha, Sharad
Source: Skin Health and Disease ; volume 5, issue 6, page 467-469 ; ISSN 2690-442X
Publisher Information: Oxford University Press (OUP)
Publication Year: 2025
Description: Histoid leprosy (HL) is a very rare and highly infectious variant of lepromatous leprosy, presenting as skin-coloured, succulent nodules and plaques on apparently healthy skin. It is histologically characterized by a dense bundle of histiocytes arranged in storiform manner. Usually, it occurs in patients with leprosy who relapse after dapsone monotherapy or inadequate antileprotic treatment; it can even arise de novo. We present a case of umbilicated presentation in a patient with a case of relapse HL, even after adequate treatment with multibacillary multidrug therapy for 12 months. Although rare, the higher load of lepra bacilli in these cases makes it a matter of concern, and challenging for leprologists to make early diagnosis and treatment.
Document Type: article in journal/newspaper
Language: English
DOI: 10.1093/skinhd/vzaf067
Availability: https://doi.org/10.1093/skinhd/vzaf067; https://academic.oup.com/skinhd/article-pdf/5/6/467/65006604/vzaf067.pdf
Rights: https://creativecommons.org/licenses/by/4.0/
Accession Number: edsbas.E5516E5C
Database: BASE