Murray K A, McLelland B A, Job C K
Arch Dermatol. 1984 Mar;120(3):360-1.
A 62-year-old woman, who lived in an area of the United States nonendemic for leprosy, was seen for an enlarging anesthetic lesion that involved the entire left breast. Microscopic examination of skin biopsy specimens taken from the edge of the lesion disclosed chronic perineural inflammation and neural proliferation, with an acid-fast bacillus demonstrable in one nerve. Granulomas, giant cells, epithelioid cells, nerve abscesses, or other characteristics of tuberculoid leprosy were not seen. This woman had a skin lesion of leprosy in an atypical site. It appeared to be indeterminate on pathologic examination and was accompanied by an unusual degree of neural proliferation.
一名62岁女性，居住在美国麻风非流行区，因左侧乳房出现逐渐增大的麻木性皮损前来就诊。对取自皮损边缘的皮肤活检标本进行显微镜检查，发现有慢性神经周围炎症和神经增生，在一条神经中可检测到抗酸杆菌。未发现结核样型麻风的肉芽肿、巨细胞、上皮样细胞、神经脓肿或其他特征。该女性在非典型部位出现了麻风皮肤损害。病理检查显示其似乎为未定类，且伴有异常程度的神经增生。
