British Leprosy Relief Association
Genital lepromatous leprosy with bilateral inguinal lymhadenopathy simulating lymphogranuloma venerum
S. Pradhan et al.
Genital lepromatous leprosy
aAll India Institute of Medical Sciences, Bhubaneswar, Odisha, India
Correspondence to: Swetalina Pradhan, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India (e-mail: firstname.lastname@example.org)
Involvement of genitalia is rare in leprosy. A 35 year old man presented with multiple papules and nodules over his scotum, the shaft of his penis, glans and prepuce along with bilateral painless inguinal lymphadenopathy and thereby simulating lymphogrnuloma venerum (LGV). A detailed dermatological examination along with cytology from a lymph node and histopathology of a nodule over the glans and lepromatous leprosy in globi in inguinal lymphnodes confirmed the diagnosis of Hansen’s disease. The patient was started with the WHO MDT adult regimen for multibacillary leprosy and the nodules and lymph nodes decreased in size after 1 month of treatment. The case is unique for the extensive involvement of genitalia and bilateral inguinal lymphadenopathy which simulated LGV.