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Summer 2012, Vol. 20 No. 2

Hong Kong J. Dermatol. Venereol. (2012) 20, 77-81


Case Report

Lepromatous leprosy: a case simulating verrucous carcinoma

一個疑似疣狀癌的瘤型痲瘋個

MM Chang 張苗 and PCL Choi 蔡祥龍

Abstract

A 59-year-old immigrant from China presented with a rapidly-enlarging exophytic growth on his left heel for 4 months. He was also found to have peripheral neuropathy, Charcot's joint, diffuse erythematous papules and acquired ichthyosis. Classical histologic features of leprosy were noted, together with atypical verrucoid proliferation. The diagnosis of lepromatous leprosy was made after clinical-pathological correlation and confirmation by polymerase chain reaction.

一名五十九歲的內地新移民,其左邊腳跟在四個月內有著快速增長的外生性腫脹。他同時被發現患有周圍神經病變、夏科氏關節、瀰漫性紅色丘疹及後天性魚鱗病。切皮檢查見到典型的痲瘋組織學特徵,但同時兼有非典型的疣狀增生。經過進一步的臨床病理關聯及聚合酶鏈鎖反應檢查覆核,本個案被確診為瘤型痲瘋。

Keywords: Digitate papules, lepromatous leprosy, leprosy, multibacillary leprosy, verrucous carcinoma

關鍵詞: 指狀丘疹,瘤型痲瘋,痲瘋,多菌型痲瘋,疣狀癌