Case Number : Case 70 Posted By: Guest

Phillip Mckee - Overseas consultations (Arizona, USA) Wrote:

Obviously some of you have a better memory than I have!! Yes the diagnosis is leprmatous leprosy. The presence of a few lymphocytes and one or two plasma cells are clues to the diagnosis. I don't see a well formed granuloma. It is always a diagnosis to bear in mind when looking at a perivascular xanthoma cell-like infiltrate. Atypical mycobacterial infections can sometimes look similar.

Submitted on 15/09/2010 21:10
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Roger Sackville - (USA) Wrote:

Leprosy

Submitted on 15/09/2010 20:37
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Marcela Saeb Lima - MSLDermatopato (Mexico City) Wrote:

Granuloma with few plasma cells and almost no lymphocytes: it could be syphilis, tuberculoid leprosy, even sarcoidosis.. I would definitely do stains and immunoperoxidase for Treponema pallidum.

Submitted on 15/09/2010 11:29
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Eman El-Nabarawy - Cairo University (Egypt) Wrote:

Dear Dr McKee,I have a question about this case , previously diagnosed as lepromatous leprosy (case no 11).As far as I know (from my little informations) that in lepromatous leprosy, no activation of macrophages to form granuloma and i can see a granuloma formation here in this photo (if i am not wrong). Is there an explanation for this? Thanks a lot sir. Its a marvellous chance to be learned by you.

Submitted on 15/09/2010 11:17
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Amira Tawdy - Cairo university (Egypt) Wrote:

Lepromatous leprosy

Submitted on 15/09/2010 09:23
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Eman El-Nabarawy - Cairo University (Egypt) Wrote:

Lepromatous leprosy.

Submitted on 15/09/2010 04:56
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Mona Abdel-Halim - Dermatology Department, Faculty of Medicine, Cairo University (Egypt) Wrote:

We saw this beautiful case last June (Case 11), but still it is a lovely case of lepromatous leprosy.

Submitted on 15/09/2010 04:06
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Marwa Fawzi - Dermatology Department, Faculty of Medicine, Cairo University (Egypt) Wrote:

Lepromatous leprosy.Is it the same as case 11??

Submitted on 15/09/2010 02:14
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Marwa Fawzi - Dermatology Department, Faculty of Medicine, Cairo University (Egypt) Wrote:

Leprosy

Submitted on 15/09/2010 02:04
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Juan Carlos Garcés - Hospital Oncológico / Hospital Luis Vernaza (Guayaquil Ecuador) Wrote:

Good evening... I am thinking in Leprosy

Submitted on 15/09/2010 00:58
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