British Leprosy Relief Association
aDepartment of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA
bDermatology Section, Regional Reference Center for Leprosy, Ascalesi Hospital, Naples, Italy
cDivision of Clinical Dermatology, Department of Systematic Pathology, University of Naples Federico II, Via Sergio Pansini 5, Naples, Italy
Correspondence to: Paolo Romanelli, Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, 1600 N.W. 10th Avenue, RMSB #2023C, Miami, FL 33136, USA (Tel: +1 305 243 5523; Fax: +1 305 243 5810; e-mail: email@example.com)
All the authors contributed to this paper efficiently. GV wrote the initial draft and gathered the patient information. MZ wrote the final draft and gathered the patient information. RR visited the patient as the primary dermatologist, gathered patient information and critically reviewed the manuscript. PF was consulted for the case management and critically reviewed the manuscript. GF was consulted for the case management and critically reviewed the manuscript. PR involved in the diagnosis and reported the histopathology slides, was consulted for the case management, and critically reviewed and revised the manuscript.
Leprosy (Hansen’s disease) is a chronic contagious granulomatous disease principally affecting the skin and peripheral nervous system, caused by Mycobacterium leprae. In this report, we present a case of autochthonous leprosy in a man from Florida as the first human case reported from this region. Authors believe dermatologists need to be aware of the possibility of autochthonous transmission of leprosy in the Eastern-Southern United States, and should consider leprosy in any patient with atypical skin lesions, even when a history of contact with armadillo is missing.
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