Sole, An Uncommon Location of Borderline Tuberculoid Hansen’s Disease

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dc.contributor.authorNair, Sen_US
dc.contributor.authorPhiske, Men_US
dc.contributor.authorSomeshwar, Sen_US
dc.date.accessioned2023-08-09T06:22:36Z
dc.date.available2023-08-09T06:22:36Z
dc.date.issued2023-03
dc.description.abstractLeprosy a chronic granulomatous infection, frequently affects areas with relatively low temperature and which are trauma prone. Areas like scalp, palms and soles, groins, genitalia, axillae, eyelids, and perineum, have been described as “immune” to development of leprosy. But clinic-pathological and bacteriological evidence of involvement of these so-called “immune zones” has rarely been documented. Palmoplantar involvement is uncommon in leprosy and could be easily misdiagnosed. We report here a case of 65-year-old male who had a single, well defined, round, 5*5 cm, dull erythematous to hyperpigmented plaque with central clearing over medial aspect of left foot extension as single, erythematous, roundish 2*2cm, plaque with central clearing over medial aspect of left foot just below ankle, for 3 months. There was decreased sensation to hot and cold temperature and to fine touch and pain over the lesions. Sensory examination elsewhere on the body was normal. There was no motor loss, no thickened nerves, no deformities, trophic ulcers or evidence of reaction. Histopathology of sole lesion suggested borderline tuberculoid Hansen’s disease. Stain for AFB was negative. Slit skin smear was negative. Good response to MDT was seen at end of 4 months. Such presentation needs to be kept mind for diagnosis of leprosy for instituting timely and appropriate treatmenten_US
dc.identifier.affiliations2nd year Residenten_US
dc.identifier.affiliationsAssociate Professoren_US
dc.identifier.affiliationsProfessor and Head of Department Dept of Dermatology, MGM Medical College and Hospital, Navi Mumbai-410209, Maharastra, India.en_US
dc.identifier.citationNair S, Phiske M, Someshwar S. Sole, An Uncommon Location of Borderline Tuberculoid Hansen’s Disease. Indian Journal of Leprosy. 2023 Mar; 95: 73-79en_US
dc.identifier.issn0254-9395
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/222638
dc.languageenen_US
dc.publisherHind Kusht Nivaran Sangh (Indian Leprosy Association)en_US
dc.relation.volume95en_US
dc.source.urihttps://www.ijl.org.in/article-detail/95/448en_US
dc.subjectHansen’sen_US
dc.subjectSolesen_US
dc.subjectGranulomaen_US
dc.subjectBorderline Tuberculoiden_US
dc.subjectLeprosyen_US
dc.titleSole, An Uncommon Location of Borderline Tuberculoid Hansen’s Diseaseen_US
dc.typeJournal Articleen_US
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