Bhagyashree B Supekar; Vrutika H Shah; Jayesh Mukhi; Rajesh P Singh
Abstract
Leprosy, just like syphilis, has become a great imitator with its various atypical and unusual presentations. It presents in many diverse ways and can be confused with many infectious and non-infectious forms.It is often misdiagnosed as common disorders like psoriasis, pyoderma, angioedema, pre-vitiligo, ...
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Leprosy, just like syphilis, has become a great imitator with its various atypical and unusual presentations. It presents in many diverse ways and can be confused with many infectious and non-infectious forms.It is often misdiagnosed as common disorders like psoriasis, pyoderma, angioedema, pre-vitiligo, sarcoidosis, and granuloma annulare. Appropriate history-taking with good clinical examination is required to diagnose atypical presentations of leprosy. Early diagnosis along with appropriate treatment is essential to prevent disability and other complications. We outline a case of lepromatous leprosy with an atypical psoriasiform presentation that mimicked psoriasis. Psoriasiform leprosy presents as erythematous plaques of varying sizes and shapes on the extensor regions of trauma-prone sites like the knees, elbows, and buttocks. This condition mimics psoriasis and is diagnosed as leprosy based on the slit skin smear and histopathology with a special Fite-Faraco stain.
Bhushan Madke; Somshukla Ray; Mahim Jain; Chitra Nayak
Volume 14, Issue 4 , 2011, , Pages 144-148
Abstract
Sarcoidosis (Besnier-Boeck-Schaumann disease) is a multisystem disease of unknown etiology with various cutaneous presentations. It is characterized by the presence of non-caseating ‘naked’ granulomas in the affected tissue. We report a case of polymorphic cutaneous sarcoid in a 39-year-old ...
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Sarcoidosis (Besnier-Boeck-Schaumann disease) is a multisystem disease of unknown etiology with various cutaneous presentations. It is characterized by the presence of non-caseating ‘naked’ granulomas in the affected tissue. We report a case of polymorphic cutaneous sarcoid in a 39-year-old immunocompetent male. He was visited at our outpatient department with multiple asymptomatic red colored raised lesions on different parts of the body. His history was significant for smoking and diabetes mellitus of varying duration. Cutaneous examination revealed multiple well-defined erythematous plaques of various shapes and sizes with minimal scaling. His blood investigations were normal except for raised serum angiotensin converting enzyme levels. Radiological investigations showed reticulonodular, fibrotic changes and hilar adenopathy on the chest film. We report this case to apprise clinicians of the fact that cutaneous sarcoid is a great mimicker due to lesional polymorphism and could be mistaken for a common dermatosis like psoriasis in our case.