Multiple Hypoaestetic, hypopigmented macules on right lateral forearm without acid fast bacilli is indicative of -: (A) Tuberculoid leprosy, (B) Lepromatous leprosy, (C) Indeterminate leprosy, (D) Borderline leprosy
Answer is C. indeterminate leprosy seen in children with immature immunological response. Common in 1-5 years of age 1-3 ill defined hypopigmented macules ranging in size from 1-5cm most common sites: outer side of extremities, buttocks,face and trunk sensations may be impaired. Nerve thickening may be present skin smears : shows acid fast bacilli on serial sections iadvl textbook of dermatology, page 2035