Perineural dermatitis, possible borderline tuberculoid leprosy

    This is a 72-year-old male who five months ago developed an asymptomatic non-anesthetic arcuate non-scaly erythematous eruption involving his trunk.  He had an outside histopathology report which described the presence of a marked superficial and deep lymphohistiocytic infiltrate, which on special stains including a Fite and Leviditi stains revealed no organisms.

     

    On physical exam, no palpable or tender superficial nerves were appreciated.  There was no lagophalmus or peripheral sensory or motor changes seen.

     

    Medically, he was hypertensive and is on hydrochlorothiazide and Procrit for his anemia twice a day for his myeloid dysplasia.

    A repeated biopsy was performed.

     

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