Image Correspondence
Free Access
Image Gallery: Multiple disseminated nodules with dysaesthesia in the Mexican–American border
First published: 01 March 2019
Funding sources: none.
Conflicts of interest: none to declare.
Dear Editor, A 65-year-old woman who has always lived in Mexico, on the border with Texas, presented with a 5-year history of disseminated asymptomatic, skin-coloured nodules on her face, conjunctiva, oral mucosa, trunk, arms and legs (a, b). She had been treated elsewhere over the years with antibiotics without improvement. Physical examination with monofilament detected decreased sensitivity in both hands. A biopsy showed a chronic dermal granulomatous process and positive Fite stain (c, d). Polymerase chain reaction confirmed infection with Mycobacterium leprae.1 World Health Organization leprosy multibacillary treatment was initiated2 and the patient is currently on her 12th month of treatment, with marked improvement.
Figure 1
