Indian Journal of Dermatology
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  Official organ of AADV
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Year : 2013  |  Volume : 58  |  Issue : 1  |  Page : 85

Morphea simulating paucibacillary leprosy clinically and histopathologically

1 Department of Dermatology, Mário Kröeff Hospital, Associação Pele Saudável, Rio De Janeiro, Brazil
2 Section of Dermatopathology At Anatomical Lab, Rio De Janeiro, Brazil

Correspondence Address:
José Saulo Torres Delgado
Serviço de Dermatologia, Hospital Mário Kröeff, Associação Pele Saudável, Rua Magé 326, Penha Circular, Rio de Janeiro - RJ - CEP 21020-130
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0019-5154.105325

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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.

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