Lepromatous leprosy presenting with lichenoid papules

A 45-year Iranian man referred to the clinic with a severe itching and multiple papular lesions on his trunk, buttocks and extremities. Symptoms and signs of lesions simulated the clinical features of mycosis fungoides (Cutaneous T cell lymphoma). There were (not any) no typical features of leprosy except a localized patch of numbness on the right hand. Slit skin smear and histopathological slide showed features of lepromatous leprosy. Clinicians practicing in leprosy endemic areas should keep lepromatous leprosy in mind while investigating patients with varied and multiple lesions.