case_images: PMC10298620_01
case_images: (A-F) Erythematous nodules over chin, nose, bilateral arms, and thigh along with plaque-like lesion over the sole
case_images: JCAS-16-65-g001.jpg
case_images: PMC10298620_01_JCAS-16-65-g001.jpg
case_images: JCAS_214_20-f001
case_images: A 15-year-old female presented to our Dermatology outpatient department with multiple nodules over bilateral arms, face, left thigh, and bilateral soles for 1 year [Figure 1A-F] with no family history or contact history.
case_images: (A-C) Scattered foamy macrophages and neutrophils with extracellular and intracellular negative images of bacilli (Giemsa and PAP x10, x40); (D) Bright red positive bacilli (ZN, x100)
case_images: JCAS-16-65-g002.jpg
case_images: PMC10298620_01_JCAS-16-65-g002.jpg
case_images: JCAS_214_20-f002
case_images: Cytosmears showed many scattered foamy macrophages, lymphocytes, and neutrophils [Figure 2A-C]. ZN stain was positive for the negative images that were seen on the Giemsa stain [Figure 2D].
case_images: (A-C) Nodular dome-shaped lesion on biopsy with grenz zone. Histopathology showing dense perivascular and perifollicular lymphomononuclear cells infiltrate along with foamy histiocytes (H and E x10, x20, x40); (D) Positive Fite-Faraco stain for lepra bacilli (Fite, x100)
case_images: JCAS-16-65-g003.jpg
case_images: PMC10298620_01_JCAS-16-65-g003.jpg
case_images: JCAS_214_20-f003
case_images: The underlying dermis showed dense perivascular, perifollicular, and perineural lymphomononuclear cell infiltrate along with foamy histiocytes and necrosis [Figure 3A-C]. Fite-Faraco staining for lepra bacilli showed a bacillary index of 6+ [Figure 3D].