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[Clinical Picture] Widespread borderline tuberculoid leprosy with HIV co-infection

A 35-year-old Lebanese man who had previously lived in Oman for 4 years presented to the outpatient clinic of the Hôtel Dieu de France hospital, Lebanon, with a generalised eruption of annular plaques. 4 years previously he had consulted our clinic for ill-defined ulcerated plaques associated with low-grade fever and general status alteration. At that time, ecthyma, secondary syphilis, and vasculitis were all considered during differential diagnosis. A skin biopsy, serological testing for syphilis (Treponema pallidum haemagglutination assay and Venereal Disease Research Laboratory test), HIV 1/2 enzyme immunoassay, and a recombinant purified protein derivative (PPD) test for tuberculosis were ordered along with a complete blood count and liver and renal function tests.

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Tags: infectiology, medical, MEDICINE
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