Chromoblastomycosis in a case of borderline lepromatous leprosy with recurrent type II lepra reaction.

We report a case of borderline lepromatous leprosy with chromoblastomycosis, in view of the rarity of such a clinical presentation and to highlight the coexistence of two granulomatous infections. Chromoblastomycosis presents as verrucous lesions that are usually localised to the skin and subcutaneous tissue, most commonly on the legs and feet, and may spread along lymphatics [causing elephantiasis] or in immunosuppressed individuals, may disseminate through the blood stream causing extensive cutaneous and rarely systemic disease.