Tuberculoid leprosy presenting with multiple skin lesions

Abstract

Leprosy is a chronic infectious disease caused by Mycobacterium leprae. The most commonly accepted classification is that of Ridley and Jopling, which is primarily based on immunity but has been correlated with clinical, histopathological, and bacteriological findings. In majority of cases, there is concordance between clinical findings and histopathological findings. But in few cases, there is discordance between them. Categorizing leprosy in a particular spectrum is necessary to decide the plan of management where histopathology plays a major role. Here we present a case where there was an extreme degree of discordance and patient presented with clinical features of lepromatous leprosy but turned out to have tuberculoid leprosy on histopathology.