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Image Number 394 (Leprosy lepromatous)

Path,superficial and deep pvd

Diagnosis: Leprosy lepromatous

Site: Arm,forearm

Sex: M

Age: 56

Type: Histology

Description: Foamy histiocytes in the upper dermis

Submitted by: Shahbaz Janjua

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Differential Diagnosis

History: This patient with a prolonged history of generalised erythema and photosensitivity complaining of a burning sensation over the exposed areas on sun exposure, developed an asymptomatic generalized eruption comprised of widely disseminated reddish brown infiltrated papulonodules and plaques.
Serum protein analysis revealed a raised level of gamma globulins.  Histopathology of the biopsy specimen confirmed the diagnosis of lepromatous leprosy. 

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