An Unusual Presentation of Co-existence of Leprosy, Anetoderma and Abdominal Tuberculosis: A Case Report
Published: July 1, 2024 | DOI: https://doi.org/10.7860/JCDR/2024/69245.19577
Shreya Nirajkumar Gupta, Meenakshi Chandak, Adarshlata Singh, Bhushan Madke, Sugat Jawade
1. Junior Resident, Department of Dermatology, Datta Meghe Instiute of Higher Education and Research, Wardha, Maharashtra, India.
2. Senior Resident, Department of Dermatology, Datta Meghe Instiute of Higher Education and Research, Wardha, Maharashtra, India.
3. Professor, Department of Dermatology, Datta Meghe Instiute of Higher Education and Research, Wardha, Maharashtra, India.
4. Professor, Department of Dermatology, Datta Meghe Instiute of Higher Education and Research, Wardha, Maharashtra, India.
5. Professor, Department of Dermatology, Datta Meghe Instiute of Higher Education and Research, Wardha, Maharashtra, India.
Correspondence
Dr. Shreya Nirajkumar Gupta,
Datta Meghe Instiute of Higher Education and Research, Sawangi, Wardha-442107, Maharashtra, India.
E-mail: sngsng2096@gmail.com
Leprosy and Tuberculosis (TB), both significant mycobacterial infections, often affect populations with lowered specific immunity. TB is a widespread and life-threatening mycobacterial infection. Co-infection of these diseases is uncommon in routine clinical practice, adding complexity to diagnosis and treatment planning. However, instances of co-existence suggest a potential cross-immunity theory. Leprosy, known for its varied presentations, can manifest as an asymptomatic secondary presentation of anetoderma, characterised by elastinolysis-induced loose sac-like appearances. This case report presents a middle-aged man in his late 30s undergoing Anti-Tubercular Treatment (AKT) for abdominal tuberculosis, who presented with signs of Erythema Nodosum Leprosum (ENL) and small asymptomatic atrophied macules on his trunk and back in the Dermatology department. Through comprehensive history, clinical examination, slit skin smear, and biopsy, authors elucidated a rare case of co-infection of leprosy and atypical cutaneous manifestations as anetoderma, concomitant with abdominal tuberculosis.
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