1601006059 SHORT CASE

 HALLTICKET NO:- 1601006059

 35 year old male patient, 

RESIDENT of  ramchandrapuram,

OCCUPATION- works as daily wage labourer  

presented with a chief complaints of 3 months  history of painless papules with erythema that started initially over the face then gradually extended to upper limb, low limbs and trunk 

~Patient got topical cream, soap and some oral drugs from nearby medical shop 

~He used them for 2 months, few lesions regressed but few persisted on nose, ear lobe, hands, legs and trunk.

~14 days ago patient developed blackish skin discolouration over hands and feet with skin peeling, cracking, ulcer formation associated with burning sensation and erythema all over the body.

~No new lesions were noted 

Since 4 days patient developed continuous high grade fever associated with chills and rigors.

Loss of appetite 

There is no history of similar complaints in the past 

chronic smoker (1 pack of beedi every 2 days) and chronic alcoholic (90ml daily) since 20 years 

EXAMINATION:

Face: loss of eyebrows,(madarosis) thickened earlobe

Oral cavity: dark erythematous lesions on the palate

Multiple papules with erythema all over the face, limbs and trunk 

  

     

 Provisional Diagnosis:-

Based on the above findings my provisional diagnosis is.       

                Leprosy