Thappa D M, Dave S, Karthikeyan K, Laxmisha C, Jayanthi S
Department of Dermatology and STD, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry 605006, India.
Indian J Lepr. 2002 Jul-Sep;74(3):237-42.
Lepromatous leprosy is a generalized disease usually presenting with numerous macules, papules, nodules or plaques involving wide areas of the skin. It is generally believed that in India lepromatous leprosy often originates from the borderline spectrum (Jha et al, 1991). Localized lepromatous or borderline lepromatous disease is a rare variant of multibacillary leprosy (Yoder et al, 1985; Jha et al, 1991; Pfaltzgraff & Ramu, 1994; Vijaikumar et al, 2001). This variant usually presents as a single nodule or a localized area of nodules and papules, while most of the body surface appears normal (Pfaltzgraff & Ramu, 1994; Vijaikumar et al, 2001). Its occurrence in our case as a single painful nodule in the bicep muscle of left forearm was indeed intriguing, such presentation being rarely reported in the literature.
瘤型麻风是一种全身性疾病，通常表现为大量累及广泛皮肤区域的斑疹、丘疹、结节或斑块。一般认为，在印度，瘤型麻风常起源于界线类谱（贾亚等人，1991年）。局限性瘤型或界线类瘤型麻风是多菌型麻风的一种罕见变异型（约德等人，1985年；贾亚等人，1991年；普法尔茨格拉夫和拉穆，1994年；维贾伊库马尔等人，2001年）。这种变异型通常表现为单个结节或结节及丘疹的局限性区域，而身体大部分体表看起来正常（普法尔茨格拉夫和拉穆，1994年；维贾伊库马尔等人，2001年）。在我们的病例中，它表现为左前臂肱二头肌处的单个疼痛性结节，这种表现确实很有趣，文献中很少有此类报道。
