1601006024 SHORT CASE

 

1601006024

Hall ticket : 1601006024.

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A 35 year old male patient resident of ramachandrapuram works as daily wage labourer who is a chronic smoker(1 pack of beedi every 2 days) and alcoholic (90ml daily) since 20 years 

He came to opd with history of painless lesions which were papules with erythematous base since 3 months which initially started over face and then extended to upper limb and lower limb and also trunk.

patient previously got a topical cream, soap and some oral drugs from a medical shop and used it for 2 months and few lesions regressed but some persisted on earlobe, hands and trunk.

12 days back he developed blackish skin discolouration over hands and feet and there was cracking of skin and ulceration associated with burning sensation

since 1 week patient developed high grade fever associated with chills and rigor which was of  continuous type

no known co-morbidities present and no history of similar complaints in the past

on examination:

face: madarosis-loss of eyebrows

skin of face and earlobe is thickened giving it leonine facies appearance

oral cavity: palate is dark and erythematous.

erythematous nodules and papules over limbs and trunk

★Diagnosis: Leprosy.