A clinical case of borderline leprosy

Abstract

Background. Described a rare case of leprosy, borderline form in the active stage. Aim. To present a clinical case of the development of leprosy with atypical manifestations in a patient outside a region endemic for leprosy. Case report. A 67-year-old patient from 2018 to 2020 received treatment for allergic dermatitis, pyoderma, no effect was observed; in 2020 he was examined for sarcoidosis, the diagnosis was not confirmed. In the Leprosy Research Institute, an examination was carried out, including a bacterioscopic examination of skin scarificates, a pathomorphological examination of skin biopsies, and molecular genetic methods. Results. Based on complaints, anamnesis, examination data and physical examination, the results of clinical and laboratory examination, the diagnosis was made: leprosy, borderline form (ICD-10 A30.3), active stage. Conclusion. The presented observation indicates that the variety of clinical manifestations of leprosy and the lack of alertness in relation to this disease, about the difficulty in establishing the correct clinical diagnosis in the patient, given the lack of history of data on contact with patients with leprosy.

Keywords

• leprosy
• borderline form
• atypical course
• m. leprae
• bacterioscopic examination
• epidemiological history
• endemic region