De-Novo Histoid Hansen Cases
A 29-year-old female presented with multiple grouped papular lesions over lower part of face and abdomen with few hypopigmented patches over buttocks since 2 months.\nThere was no history of fever, epistaxis or loss of chappals. No complaint of any ulcer or deformity of hands and feet.\nThere was no h/o contact with leprosy patients. No h/o any drug intake for leprosy.\nOn examination there were multiple shiny papulo-nodular lesions over lower part of face (; Case 1) with few hypopigmented scaly lesions over buttocks. Bilateral ulnar nerves were thickened. Crude touch and fine touch were normal. Hot and cold sensations were altered below knees in both legs. Corneal and conjunctival sensations were normal. Motor examination was normal. All routine investigations were normal.\nOn histopathological examination: The microphotograph shows thinned out epidermis with chronic inflammatory infiltrate which shows storifirm pattern consisting of lymphocytes, histiocytes, and foamy macrophages. Heavy bacillary load was seen on Fite Faraco stain []. Split Skin Smear revealed acid-fast bacilli of BI: 6+