Jha P K, Talwar S, Suresh M S, Panvelkar V
Base Hospital, Lucknow, India.
Lepr Rev. 1991 Jun;62(2):212-6. doi: 10.5935/0305-7518.19910026.
A 48-year-old soldier presented with 3 small leprosy lesions localized over the flexor area of the forearm. There was no nerve thickening and clinically the lesions looked like borderline-tuberculoid leprosy. However, these lesions demonstrated a bacteriological index (BI) of 4+ while no acid-fast bacilli (AFB) could be demonstrated from any other site of the body. A lepromin test was negative. Histologically evidence of borderline lepromatous leprosy was conspicuous. The case was diagnosed as localized borderline lepromatous-leprosy and treated with multidrug therapy. After 1 year of treatment, the lesions regressed, a lepromin test was positive (5 mm) and the BI from the lesions fell to 1+.
一名48岁的士兵在前臂屈侧出现3个小麻风皮损。无神经粗大，临床上这些皮损看起来像界线类偏结核样麻风。然而，这些皮损的细菌学指数（BI）为4+，而身体其他部位均未发现抗酸杆菌（AFB）。麻风菌素试验为阴性。组织学上，界线类偏瘤型麻风的证据明显。该病例被诊断为局限性界线类偏瘤型麻风，并接受了多药联合治疗。治疗1年后，皮损消退，麻风菌素试验转为阳性（5毫米），皮损的BI降至1+。
