A 26 yr. old man from Bihar comes with juicy looking papules over face and back of neck which were hypopigmented and normo aesthetic with no nerve thickening. History of prolonged fever in childhood was present. Diagnosis?

**Core Concept**
The question requires the application of dermatological knowledge to diagnose a skin condition characterized by hypopigmented, juicy-looking papules. The **dermatological diagnosis** is based on the clinical presentation and history of the patient.

**Why the Correct Answer is Right**
Given the description of hypopigmented, juicy-looking papules without nerve thickening, and a history of prolonged fever in childhood, the likely diagnosis is **Lupus Vulgaris**, a form of cutaneous tuberculosis. The absence of nerve thickening helps to rule out **Leprosy**.

**Why Each Wrong Option is Incorrect**
**Option A:** Incorrect because it doesn't match the clinical description provided.
**Option B:** Incorrect as it is not consistent with the history and clinical findings.
**Option C:** Incorrect because the description doesn't align with the typical presentation of this condition.

**Clinical Pearl / High-Yield Fact**
It's crucial to consider the patient's geographic location and history of fever when diagnosing skin conditions, as certain diseases are more prevalent in specific regions.

**Correct Answer:** D. Lupus Vulgaris.

✓ Correct Answer: B. Post Kala Azar dermal leishmaniasis