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Morphea simulating paucibacillary leprosy clinically and histopathologically.

Abstract
Clinically and histopathologically paucibacillary leprosy shows similar features with initial morphea. In this case we report a 24 yr-old male patient who presented to our dermatology department with diagnosed paucibacillary leprosy by his local dermatologist, and confirmed by perineurovascular lymphocytic infiltrate in the histopathological exam. On physical examination we found new plaque lesions that were suggestive of morphea with alteration of sensitivity. A new biopsy was performed showing sclerotic superficial dermis with thickening of the collagen bundles in deep dermis and linear arrays lymphocytic infiltrate between the collagen bundles that confirm the diagnosis of morphea.
AuthorsJosé Saulo Torres Delgado, Marília Lopes Cavalcanti, Bernard Kawa Kac, Claudia Lopes Pires
JournalIndian journal of dermatology (Indian J Dermatol) Vol. 58 Issue 1 Pg. 85 (Jan 2013) ISSN: 1998-3611 [Electronic] India
PMID23372229 (Publication Type: Journal Article)

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