Borderline lepromatous leprosy:A case report

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外文摘要：Rationale:Lepromatous leprosy can have many atypical presentations,obscuring early diagnosis.We present a case of lepromatous leprosy,presenting with atypical features,which made a diagnostic dilemma.Patient concerns:A 48-year-old man presented with bilateral lower limb oedema and scaly"ichthyosis like"skin rash in both hands and feet,hepatosplenomegaly and pancytopenia,over a course of three months,without any classical features of leprosy.A skin biopsy revealed an unexpected diagnosis of borderline lepromatous leprosy.Diagnosis:Lepromatous leprosy.Interventions:Multi-drug regimen treatment with rifampicin,dapsone and clofazimine for lepromatous leprosy.Outcomes:The patient made a good clinical recovery.Lessons:In endemic settings,clinicians should be aware of similar atypical manifestations of leprosy to face the global challenge of eradicating this chronic deforming disease.

外文关键词：

Lepromatous leprosyHepatosplenomegalyHemophagocytosisPancytopeniaIchthyosis

作者：

Nilshan Fernando、Chiranthi Welhenge、Ranjan Premaratna、Ahamed Uwyse

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作者单位：

Registrar in Medicine,University Medical Unit,Colombo North Teaching Hospital,Ragama,Sri Lanka

Honorary Consultant Physician in Medicine,University Medical Unit,Colombo North Teaching Hospital,Ragama,Sri Lanka

Department of Medicine,Faculty of Medicine,University of Kelaniya,P.O Box 6,Thalagolla Road,Ragama,Sri Lanka

Department of Dermatology,Colombo North Teaching Hospital,Ragama,Sri Lanka

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出版年：

2024

DOI：

10.4103/apjtm.apjtm_874_23

亚太热带医药杂志(英文版)

ISSN：

年,卷(期)：2024.17(7)