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Image Number #1176 (Leprosy lepromatous)

Diagnosis: Leprosy lepromatous

Description: Foamy histiocytes, lymphocytes and plasma cells in the lower dermis

Morphology: Path,superficial and deep pvd

Site: Arm,forearm

Sex: M

Age: 56

Type: Histology

Submitted By: Shahbaz Janjua

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Differential Diagnosis
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History: This patient with a prolonged history of generalised erythema and photosensitivity complaining of a burning sensation over the exposed areas on sun exposure, developed an asymptomatic generalized eruption comprised of widely disseminated reddish brown infiltrated papulonodules and plaques.
Serum protein analysis revealed a raised level of gamma globulins.  Histopathology of the biopsy specimen confirmed the diagnosis of lepromatous leprosy. 

DermNetNZ   eMedicine   PubMed   Dermatology Online   Archives   JAAD for "Leprosy lepromatous"

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