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Feeder nerve in a facial patch of leprosy
Corresponding author: Dr. Harish Kumar Sagar, Clinical Division, ICMR-National Japanese Leprosy Mission for Asia Institute for Leprosy and other Mycobacterial Diseases, Tajganj, Agra, India. drharishkumarsagar@gmail.com
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Received: ,
Accepted: ,
How to cite this article: Sagar HK. Feeder nerve in a facial patch of leprosy. Indian J Dermatol Venereol Leprol. doi: 10.25259/IJDVL_1625_2025
A 45-year-old man presented with a poorly defined, hypopigmented, anaesthetic patch measuring 8×5 cm on the left side of the face of 1-year duration. The lesion developed insidiously and was localised. Notably, the greater auricular nerve was prominently visible proximal to the patch and appeared to feed the lesion [Figure 1]. Slit skin smear was negative for Mycobacterium leprae. However, histopathological examination from the skin lesion revealed well-defined granulomas composed of numerous epithelioid cells, lymphocytes, and macrophages, confirming the diagnosis of borderline tuberculoid leprosy. Multidrug treatment was initiated, and the patient showed a good clinical response.
- Hypopigmented anaesthetic patch on left cheek (green arrow) with markedly thickened left sided greater auricular nerve (black arrow).
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Use of artificial intelligence (AI)-assisted technology for manuscript preparation
The author confirms that there was no use of artificial intelligence (AI)-assisted technology for assisting in the writing or editing of the manuscript and no images were manipulated using AI.