Indian J Lepr 2008, 80 : 275-278 Case Report


Systemic Sarcoidosis in a Case of
Lepromatous Leprosy: A Case Report


P Sharma1, HK Kar2, B Singh3, D Deepak4, M Bhardwaj5
 

  1. P Sharma, Senior Research Officer, Department of Dermatology, STDs and Lepros
  2. HK Kar, Professor and Head, Department of Dermatology, STDs and Leprosy
    Dr Ram Manohar Lohia Hospital and PGIMER, Baba Kharak Singh Marg, New Delhi-110001, India
  3. B Singh, Senior Physician, Department of Internal Medicine
  4. D Deepak, Senior Medical Officer, Department of Internal Medicine
  5. M Bhardwaj, Senior Pathologist, Department of Pathology (Histopathology Unit

Correspondence to : Prof (Dr) HK Kar, Email : hkkar_2000@yahoo.com



Abstract

The clinical features of cutaneous sarcoidosis and leprosy are some times difficult to differentiate and there have been many reports where pulmonary sarcoidosis was treated as pulmonary tuberculosis or a case of sarcoidosis was treated with anti-leprosy multidrug therapy, before a correct diagnosis was made. So far there has been only one published case report of leprosy and sarcoidosis co-infection, where tuberculoid leprosy developed in a case of sarcoidosis, known for over a decade. We are reporting a case of dual affliction, where sarcoidosis was discovered (on routine screening) in a case of lepromatous leprosy, after administration of 2 years of multidrug therapy. The role of mycobacterial antigens (among a vast array of different animate or inanimate particles) in causation of sarcoidosis, is still speculative, as reviewed from literature.

Key words : Leprosy, Stigma, SROC, Multi-state study