Year :
2024
| Month :
July
| Volume :
18
| Issue :
7
| Page :
WD01 - WD03
Full Version
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 Address :
Dr. Shreya Nirajkumar Gupta,
Datta Meghe Instiute of Higher Education and Research, Sawangi, Wardha-442107, Maharashtra, India.
E-mail: sngsng2096@gmail.com
Abstract
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.
Keywords
Atrophied macules, Cutaneous manifestations, Reinfection, Relapse, Tuberculoid leprosy
DOI: 10.7860/JCDR/2024/69245.19577
Date of Submission: Dec 23, 2023
Date of Peer Review: Mar 09, 2024
Date of Acceptance: Apr 12, 2024
Date of Publishing: Jul 01, 2024
AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was informed consent obtained from the subjects involved in the study? No
• For any images presented appropriate consent has been obtained from the subjects. No
PLAGIARISM CHECKING METHODS:
• Plagiarism X-checker: Dec 23, 2023
• Manual Googling: Mar 19, 2024
• iThenticate Software: Apr 10, 2024 (5%)
ETYMOLOGY: Author Origin
EMENDATIONS: 5
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