IADVL
Indexed with PubMed and Science Citation Index (E) 
 
Users online: 6876 
     Home | Feedback | Login 
About Current Issue Archive Ahead of print Search Instructions Online Submission Subscribe What's New Contact  
  Navigate here 
  Search
 
  
 Resource links
   Similar in PUBMED
    Search Pubmed for
    Search in Google Scholar for
   Article in PDF (1,528 KB)
   Citation Manager
   Access Statistics
   Reader Comments
   Email Alert *
   Add to My List *
* Registration required (free)  

 
  In this article
   Article Figures

 Article Access Statistics
    Viewed992    
    Printed83    
    Emailed0    
    PDF Downloaded127    
    Comments [Add]    

Recommend this journal

 


 
 Table of Contents    
IMAGES IN CLINICAL PRACTICE
Year : 2020  |  Volume : 86  |  Issue : 2  |  Page : 176-177

Lepromatous leprosy masquerading as anetoderma in a boy


1 Department of Dermatology, Venereology and Leprology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
2 Department of Histopathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India

Date of Web Publication26-Feb-2019

Correspondence Address:
Dr. Tarun Narang
Department of Dermatology, Venereology and Leprology, Postgraduate Institute of Medical Education and Research, Sector 12, Chandigarh - 160 012
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijdvl.IJDVL_653_17

Rights and Permissions



How to cite this article:
Razmi T M, Narang T, Chatterjee D, Dogra S, Saikia UN. Lepromatous leprosy masquerading as anetoderma in a boy. Indian J Dermatol Venereol Leprol 2020;86:176-7

How to cite this URL:
Razmi T M, Narang T, Chatterjee D, Dogra S, Saikia UN. Lepromatous leprosy masquerading as anetoderma in a boy. Indian J Dermatol Venereol Leprol [serial online] 2020 [cited 2020 Apr 2];86:176-7. Available from: http://www.ijdvl.com/text.asp?2020/86/2/176/253103




An adolescent presented with asymptomatic loose outpouching of the skin, without any antecedent lesions. These well-defined atrophic plaques were distributed on the upper arm, thighs and neck [Figure 1]a and [Figure 1]b. General examination revealed infiltrated earlobes and symmetrical peripheral nerve thickening without associated sensory impairment. There were no hypopigmented/erythematous patches. Nerve conduction study revealed sensory-motor polyneuropathy. Slit-skin-smear from one of the atrophic lesions from the left upper arm demonstrated acid fast bacilli with a bacillary index of 5+. Histopathology of the same lesion showed peri-adnexal and peri-neuro-vascular lymphohistiocytic collections [Figure 2]a, along with degeneration of collagen and elastin [Figure 2]b and positive-modified Ziehl-Neelsen staining. Syphilis, human immunodeficiency virus and anti-phospholipid antibodies screening were unremarkable. Anetoderma in polar lepromatous leprosy is extremely rare. In the absence of reactions to suggest neutrophil-mediated elastolysis, elastolytic enzymes produced by lesional macrophages may be the reason for anetoderma.
Figure 1: (a) Anetodermic lesion on the arm. (b) Close-up image of one of the thigh lesions

Click here to view
Figure 2: (a) Normal epidermis and peri-vascular and peri-appendageal lymphohistiocytic collection with altered connective tissue fibers in the dermis (hematoxylin and eosin, ×100) (b) Collagen and elastin degeneration in the dermis(elastic van Gieson, ×200)

Click here to view


Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form, the legal guardian has given his consent for images and other clinical information to be reported in the journal. The guardian understands that names and initials will not be published and due efforts will be made to conceal patient identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.




    Figures

  [Figure 1], [Figure 2]



 

Top
Print this article  Email this article

    

Online since 15th March '04
Published by Wolters Kluwer - Medknow