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Case for diagnosis. Infiltrated areas on the trunk How to cite this article: Góes LDM, Scrignoli JA, Morais P, Talhari C. Case for diagnosis. Infiltrated areas on the trunk. An Bras Dermatol. 2020. https://doi.org/10.1016/j.abd.2019.12.007 ,☆☆ ☆☆ Study conducted at the Fundação de Dermatologia Tropical e Venereologia Alfredo da Matta, Manaus, AM, Brasil.

Abstract

Leprosy is an infectious disease with chronic evolution, caused by Mycobacterium leprae, an acid-fast bacillus that mainly affects the skin and peripheral nervous tissue. Many of the clinical manifestations of leprosy can mimic connective tissue diseases. The authors present the case of a 49-year-old woman who had been treated for four years for systemic lupus erythematosus in a rheumatological service. Skin biopsy of a plaque on the inguinal region was compatible with borderline lepromatous leprosy associated with a type 1 lepra reaction. The patient is undergoing treatment with multibacillary multidrug therapy, showing clinical improvement.

KEYWORDS
Leprosy; Leprosy, multibacillary; Panniculitis

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