Abstract:

A 27-year-old male presented with systemic edematous erythema and maculopapule with pain and high fever for 1 week. The bacterial index (BI) of skin smears for Acid-fast staining was 3.40+. Biopsy showed that the epidermis was thinner. There was no infiltration between epidermis and dermis. The dermis was infiltrated with lymphocytes, tissue cells and foam cells, involving the fat layer and accessory organs. The patient was diagnosed as BL leprosy 2 years ago and treated with MDT for 1 year.

Key words: borderline lepromatous leprosy, type I leprosy reaction