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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