Borderline lepromatous leprosy:A case report  

作　　者：Nilshan Fernando Chiranthi Welhenge Ranjan Premaratna Ahamed Uwyse 

机构地区：[1]Registrar in Medicine,University Medical Unit,Colombo North Teaching Hospital,Ragama,Sri Lanka [2]Honorary Consultant Physician in Medicine,University Medical Unit,Colombo North Teaching Hospital,Ragama,Sri Lanka [3]Department of Medicine,Faculty of Medicine,University of Kelaniya,P.O Box 6,Thalagolla Road,Ragama,Sri Lanka [4]Department of Dermatology,Colombo North Teaching Hospital,Ragama,Sri Lanka

出　　处：《Asian Pacific Journal of Tropical Medicine》2024年第7期329-332,共4页亚太热带医药杂志（英文版）

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.

关 键 词：Lepromatous leprosy HEPATOSPLENOMEGALY HEMOPHAGOCYTOSIS PANCYTOPENIA ICHTHYOSIS 

分 类 号：R755[医药卫生—皮肤病学与性病学]