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Tuberculoid Leprosy in State of Reaction. Presented by Orlando Canizares, MD.
A female, age 19 years, had no familial history of leprosy. She was born in the Dominican Republic and had been in the US for about seven years. The present condition began approximately 6½ years ago, with a single depigmented lesion on the right forearm. Biopsy was performed and she was told that she had a benign tumor. The lesion reappeared about the scar and extended. Last year the patient got married and became pregnant, and two weeks after delivery the lesion, which had remained pale and flat, became swollen, edematous, and erythematous. Other smaller lesions subsequently developed.An erythematous, slightly scaly plaque on the external aspect of the right forearm formed half a circle, the long diameter 8 inches and the width 2 to 3 inches, and in the center was the scar of the first biopsy. A slight decrease of sensation in the lesion was detected.
NEW YORK DERMATOLOGICAL SOCIETY. Arch Dermatol. 1969;100(4):515-518. doi:10.1001/archderm.1969.01610280133032