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Leonine facies and madarosis in lepromatous leprosy
  1. Vijayasankar Palaniappan1,
  2. Kaliaperumal Karthikeyan2,3
  1. 1Dermatology, Sri Manakula Vinayagar Medical College and Hospital, Puducherry, India
  2. 2Dermatology, Venereology and Leprosy, Sri Manakula Vinayagar Medical College and Hospital, Cuddalore, Tamil Nadu, India
  3. 3India
  1. Correspondence to Dr Vijayasankar Palaniappan, Dermatology, Sri Manakula Vinayagar Medical College and Hospital, Puducherry 605107, India; vijayasankarpalaniappan{at}

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A 69-year-old man presented with a 5-year history of diffuse infiltration of skin and progressive sensory loss over his bilateral hands. His face had a few papular-nodular lesions over forehead and cheeks, attenuated skin folds, with loss of eyelashes and eyebrows (figure 1). Peripheral nerve examination showed thickened bilateral ulnar and posterior tibial nerves. Slit skin smear examination and histopathology of a nodule showed features consistent with multibacillary …

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  • Contributors VP—writing of manuscript, KK—inputs to the scientific content of manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.