A 22-year-old male polar lepromatous leprosy patient who became Mitsuda positive after 36 months of multidrug therapy (MDT) is reported. Lepromatous leprosy (LL) is a state of specific immunosuppression and is invariably irreversible. The finding of Mitsuda positivity in histopathologically proven polar lepromatous leprosy is extremely uncommon, and conversion of lepromin status following MDT has not so far been reported. This case reports confirms the observations made by Waters et al.(1) regarding lepromin conversion in lepromatous patients.
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Univ Utah, Hlth Sci Ctr, Dept Dermatol, Sch Med, Salt Lake City, UT 84132 USAUniv Utah, Hlth Sci Ctr, Dept Dermatol, Sch Med, Salt Lake City, UT 84132 USA
Ross, RR
Herron, MD
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Univ Utah, Hlth Sci Ctr, Dept Dermatol, Sch Med, Salt Lake City, UT 84132 USAUniv Utah, Hlth Sci Ctr, Dept Dermatol, Sch Med, Salt Lake City, UT 84132 USA
Herron, MD
Florell, SR
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Univ Utah, Hlth Sci Ctr, Dept Dermatol, Sch Med, Salt Lake City, UT 84132 USAUniv Utah, Hlth Sci Ctr, Dept Dermatol, Sch Med, Salt Lake City, UT 84132 USA
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Colombo North Teaching Hosp, Univ Med Unit, Med, Ragama, Sri LankaColombo North Teaching Hosp, Univ Med Unit, Med, Ragama, Sri Lanka
Fernando, Nilshan
Welhenge, Chiranthi
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Colombo North Teaching Hosp, Univ Med Unit, Med, Ragama, Sri LankaColombo North Teaching Hosp, Univ Med Unit, Med, Ragama, Sri Lanka
Welhenge, Chiranthi
Premaratna, Ranjan
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Colombo North Teaching Hosp, Univ Med Unit, Med, Ragama, Sri Lanka
Univ Kelaniya, Fac Med, Dept Med, POB 6,Thalagolla Rd, Ragama, Sri LankaColombo North Teaching Hosp, Univ Med Unit, Med, Ragama, Sri Lanka
Premaratna, Ranjan
Uwyse, Ahamed
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Colombo North Teaching Hosp, Dept Dermatol, Ragama, Sri LankaColombo North Teaching Hosp, Univ Med Unit, Med, Ragama, Sri Lanka