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Lepromatous leprosy as a presenting feature of HIV
Vasudha A Belgaumkar, Ravindranath B Chavan, Nitika S Deshmukh, Abhishek P Ponathil
Department of Dermatology, Venereology and Leprosy, B. J. Government Medical College and Sassoon General Hospital, Pune, Maharashtra, India
Correspondence Address:
Ravindranath B Chavan,
Department of Dermatology, Venereology and Leprosy, B.J. Government Medical College and Sassoon General Hospital, Pune - 411 001, Maharashtra
India
 Source of Support: None, Conflict of Interest: None DOI: 10.4103/ijstd.IJSTD_44_19
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Various bacterial, mycobacterial and fungal opportunistic infections occur frequently in immunocompromised individuals, however, leprosy in retroviral disease is a relatively rare association. Hereby, we report a case of lepromatous leprosy that presented with clinical features mimicking other opportunistic infections and subsequently led to the diagnosis of HIV. The myriad challenges associated with the diagnosis and management of HIV–leprosy coinfection are also discussed. Thus, although uncommon, atypical cutaneous lesions in HIV-seropositive patients warrant investigation for leprosy.
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