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 © 2001-2009, DermAtlas | Image Name: | Nerve_abscess_1_090304 | File Type: | jpg | |
| Diagnosis: | LEPROSY | Category: | abscess / infections and infestations / linear eruptions | ||
| Body Site: | forearm / hand / wrist | Age: | 19 years | ||
| Contributor: | Piyush Kumar | ||||
| Description: | linear array of papules and nodules one of which was ulcerated | ||||
| Comments: | This 19-year-old man was evaluated for swelling over the left forearm in a linear distribution for 2 months associated with an ulcer on the wrist for 1 month. The nonhealing ulcer was preceded by a soft nodule. The left ulnar nerve was thickened and tender, and there was loss of sensation in area supplied by the nerve. Atrophy of the instrinsic muscles of the left hand and deformity middle finger were noted. No other nerves were involved. The diagnosis of pure neuritic leprosy with nerve abscess was confirmed by identifying organisms on stains of debris obtained from the ulcer. | ||||
 © 2001-2009, DermAtlas | Image Name: | Leprosy_1_071207 | File Type: | jpg | |
| Diagnosis: | LEPROSY | Category: | infections and infestations | ||
| Body Site: | face / eye | Age: | 19 years | ||
| Contributor: | Soe Win Oo, MD | ||||
| Description: | well demarcated violaceous indurated plaques | ||||
| Comments: | A 19-year-old girl was evaluated for violaceous plaques her face for 4 months. She had decresed sensation and weakness when opening and closing and the left eye. Slit skin smears were positive for organisms, and she was diagnosed with borderline leprosy. | ||||
 © 2001-2009, DermAtlas | Image Name: | leprosy_3_060801 | File Type: | jpg | |
| Diagnosis: | LEPROSY | Category: | infections and infestations / granulomatous disorder | ||
| Body Site: | knee | Age: | 20 years | ||
| Contributor: | Greg Hosler, MD, PhD | ||||
| Description: | A modified acid fast stain (FITE) highlights numerous clumps of red bacilli within the granulomatous infiltrate. | ||||
| Comments: | This 20 year-old female grew up in the Marshall Islands. She presented with a red, scaly plaque on her knee. She also reported decreased sensation. The clinican's differential diagnosis was leprosy, psoriasis, or erythema annulare centrifugum. While not so rare in other parts of the world, a good case of leprosy continues to spark excitement here. I should have the pleasure to see more examples as the 9-banded armadillo roams this region (Texas). This is an example of Hansen disease. The presence of numerous acid-fast-positive organisms favors a diagnosis of lepromatous leprosy. This case is probably best classified as borderline lepromatous since the granulomas are a little better formed and there is a sense of neurotropism, features seen in the tuberculous form...cool case. | ||||
| Related Images: | All related Images leprosy_1_060801 leprosy_2_060801 | ||||
 © 2001-2009, DermAtlas | Image Name: | leprosy_2_060801 | File Type: | jpg | |
| Diagnosis: | LEPROSY | Category: | infections and infestations / granulomatous disorder | ||
| Body Site: | knee | Age: | 20 years | ||
| Contributor: | Greg Hosler, MD, PhD | ||||
| Description: | The histiocytic infiltrate consists of loosely-formed granulomas. The histiocytes are mildly foamy. There is a mild lymphocytic component to the infiltrate. An apparent grenz zone separates the infiltrate from the overlying epidermis. | ||||
| Comments: | This 20 year-old female grew up in the Marshall Islands. She presented with a red, scaly plaque on her knee. She also reported decreased sensation. The clinican's differential diagnosis was leprosy, psoriasis, or erythema annulare centrifugum. While not so rare in other parts of the world, a good case of leprosy continues to spark excitement here. I should have the pleasure to see more examples as the 9-banded armadillo roams this region (Texas). This is an example of Hansen disease. The presence of numerous acid-fast-positive organisms favors a diagnosis of lepromatous leprosy. This case is probably best classified as borderline lepromatous since the granulomas are a little better formed and there is a sense of neurotropism, features seen in the tuberculous form...cool case. | ||||
| Related Images: | All related Images leprosy_1_060801 leprosy_3_060801 | ||||
 © 2001-2009, DermAtlas | Image Name: | leprosy_1_060801 | File Type: | jpg | |
| Diagnosis: | LEPROSY | Category: | infections and infestations / granulomatous disorder | ||
| Body Site: | knee | Age: | 20 years | ||
| Contributor: | Greg Hosler, MD, PhD | ||||
| Description: | Filling the papillary dermis and extending into the reticular dermis is a nodular granulomatous infiltrate. There is a suggestion of a neurovascular pattern deep within the dermis. The epidermis is unremarkable. | ||||
| Comments: | This 20 year-old female grew up in the Marshall Islands. She presented with a red, scaly plaque on her knee. She also reported decreased sensation. The clinican's differential diagnosis was leprosy, psoriasis, or erythema annulare centrifugum. While not so rare in other parts of the world, a good case of leprosy continues to spark excitement here. I should have the pleasure to see more examples as the 9-banded armadillo roams this region (Texas). This is an example of Hansen disease. The presence of numerous acid-fast-positive organisms favors a diagnosis of lepromatous leprosy. This case is probably best classified as borderline lepromatous since the granulomas are a little better formed and there is a sense of neurotropism, features seen in the tuberculous form...cool case. | ||||
| Related Images: | All related Images leprosy_2_060801 leprosy_3_060801 | ||||
 © 2001-2009, DermAtlas | Image Name: | Leprosy_2_060403 | File Type: | jpg | |
| Diagnosis: | LEPROSY / MYCOBACTERIUM INFECTION | Category: | granulomatous disorder / infections and infestations | ||
| Body Site: | arm / leg | Age: | 28 days | ||
| Contributor: | Kosman Sadek Zikry, MD | ||||
| Description: | indurated hyperpigmented violaceous dermal papules and plaques | ||||
| Comments: | This 28-year-old woman with an 8 year history of biopsy proven leprosy had been on antibiotic therapy for 2 years. | ||||
| Related Images: | All related Images Leprosy_4_060403 Leprosy_3_060403 | ||||
 © 2001-2009, DermAtlas | Image Name: | Leprosy_3_060403 | File Type: | jpg | |
| Diagnosis: | LEPROSY / MYCOBACTERIUM INFECTION | Category: | granulomatous disorder / infections and infestations | ||
| Body Site: | arm / leg | Age: | 28 days | ||
| Contributor: | Kosman Sadek Zikry, MD | ||||
| Description: | indurated hyperpigmented violaceous dermal papules and plaques | ||||
| Comments: | This 28-year-old woman with an 8 year history of biopsy proven leprosy had been on antibiotic therapy for 2 years. | ||||
| Related Images: | All related Images Leprosy_4_060403 Leprosy_2_060403 | ||||
 © 2001-2009, DermAtlas | Image Name: | Leprosy_4_060403 | File Type: | jpg | |
| Diagnosis: | LEPROSY / MYCOBACTERIUM INFECTION | Category: | granulomatous disorder / infections and infestations | ||
| Body Site: | face / leg | Age: | 28 days | ||
| Contributor: | Kosman Sadek Zikry, MD | ||||
| Description: | indurated hyperpigmented violaceous dermal papules with overlying scale | ||||
| Comments: | This 28-year-old woman with an 8 year history of biopsy proven leprosy had been on antibiotic therapy for 2 years. | ||||
| Related Images: | All related Images Leprosy_3_060403 Leprosy_2_060403 | ||||
 © 2001-2009, DermAtlas | Image Name: | Leprosy_6_060407 | File Type: | jpg | |
| Diagnosis: | LEPROSY | Category: | infections and infestations | ||
| Body Site: | leg / foot | Age: | 35 years | ||
| Contributor: | Kosman Sadek Zikry, MD | ||||
| Description: | chronic dermatitic changes, crusts, and foot deformity | ||||
| Comments: | This 35-year-old man had a history of a biopsy proven leprosy for 15 years. He was on systemic antibiotics for many years. Note the chronic recurrent cutaneous injuries and orthopedic deformities resulting from years of progressive neurologic disease. | ||||
| Related Images: | All related Images Leprosy_1_060407 Leprosy_2_060407 Leprosy_3_060407 Leprosy_4_060407 Leprosy_5_060407 | ||||
 © 2001-2009, DermAtlas | Image Name: | Leprosy_5_060407 | File Type: | jpg | |
| Diagnosis: | LEPROSY | Category: | infections and infestations | ||
| Body Site: | leg / foot | Age: | 35 years | ||
| Contributor: | Kosman Sadek Zikry, MD | ||||
| Description: | chronic dermatitic changes, crusts, and foot deformity | ||||
| Comments: | This 35-year-old man had a history of a biopsy proven leprosy for 15 years. He was on systemic antibiotics for many years. Note the chronic recurrent cutaneous injuries and orthopedic deformities resulting from years of progressive neurologic disease. | ||||
| Related Images: | All related Images Leprosy_1_060407 Leprosy_2_060407 Leprosy_3_060407 Leprosy_4_060407 Leprosy_6_060407 | ||||
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