This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Dental
All are true lepromatous leprosy except – 
Select and explain. 
A. Presence of globi, B. Subepidermal free zone, C. Decreased cell mediated immunity, D. Presence of granulomas subdermally
D: Presence of granulomas subdermally
Answer: D: Presence of granulomas subdermally 
Explanation: Granuloma is seen in tuberculoid leprosy.

Skin and nerve biopsies in leprosy show

i) Tuberculoid granuloma → In tuberculoid leprosy.
ii) Diffuse macrophage infiltration loaded with bacilli in the faun of cigar bundles called globi → In lepronzatous leprosy.

Subepidermal zone of grenz is free of infiltrate (free subepidermal grenz zone) in Lepromatous leprosy. In tuberculoid leprosy subepidermal grenz zone is infiltrated No free subepidermal grenz zone.
Lepromatous leprosy has maximally depressed cell mediated immunity.