Lepromatous leprosy presenting with lichenoid papules

A 45-year Iranian man referred to the clinic with a severe itching and multiple papularlesions on his trunk, buttocks and extremities. Symptoms and signs of lesions simulatedthe clinical features of mycosis fungoides (Cutaneous T cell lymphoma). There were (notany) no typical features of leprosy except a localized patch of numbness on the righthand. Slit skin smear and histopathological slide showed features of lepromatousleprosy. Clinicians practicing in leprosy endemic areas should keep lepromatous leprosyin mind while investigating patients with varied and multiple lesions.