A new case of Multibacillary Lepromatous. There are so many | Figure 1

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A new case of Multibacillary Lepromatous. There are so many hypopigmented lesions all over his body. The 3 main cardinal signs of leprae are:

  1. Hypo/anesthetic lesion
  2. Peripheral nerve thickening
  3. Acid fast bacilli positive.
    This patient has all of the main cardinal signs. There is also glove stocking anesthesia on his palmar.

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This sign means very special for something. I learned 4 cardinal features for this ,by which we can go for the Dx. Feature of this stria:

  1. Stria on flank.
  2. Oblique stria
  3. Pink color
  4. Mirror image of the strias. DIAGNOSIS?