A 45 year old male had multiple hypoaesthetic mildly erythematous large plaques with elevated margins on trunk and extremities. His ulnar and lateral popliteal nerves on both sides were enlarged. The most probable diagnosis is –
Correct Answer: Borderline lepromatous leprosy
Description: This patient has:-
Multiple lesions
Hypoesthetic
Bilateral symmetrical nerve thickening
These favour lepromatous end of the spectrum.
Now question arises, whether it is BL or LL.
Point two (Hypoesthetic) differentiates the two:-
Sensations
IL : Hypoesthetic or Normoesthetic
TT : Anesthetic
BT : Hypoesthetic sometimes anaesthetic
BB : Hypoesthetic
BL : Hypoesthetic
LL : Normoesthetic Late glove & stocking anaesthetic
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