Journal of Cytology

CASE REPORT
Year
: 2018  |  Volume : 35  |  Issue : 1  |  Page : 63--65

Cytological diagnosis of erythema nodosum leprosum in clinically unsuspected cases: A report of two cases


Shruti Semwal1, Deepti Joshi1, Garima Goel1, Neha Mittal2, Kaushik Majumdar3, Neelkamal Kapoor1 
1 Department of Pathology and Laboratory Medicine, AIIMS, Bhopal, Madhya Pradesh, India
2 Tata Memorial hospital, Mumbai, Maharashtra, India
3 G B Pant Hospital, New Delhi, India

Correspondence Address:
Dr. Shruti Semwal
C-86, Emerald Park City, Bhopal, Madhya Pradesh
India

Leprosy is a chronic infectious disease caused by Mycobacterium leprae. The manifestations of this disease varies across the spectrum of tuberculoid (TT) to lepromatous (LL) leprosy.The course of this indolent disease is interrupted by acute exacerbations in the form of leprare actions. Erythema nodosum leprosum (ENL), a type 2 lepra reaction, occurs in lepromatous or borderline lepromatous cases, usually in response to multidrug therapy. Early detection and timely management of these patients is important to reduce the associated morbidity. We report two clinically unusual cases of ENL on fine-needle aspiration cytology. In one case, antileprosy treatment was completed 10 years back, whereas in the other case, ENL was the presenting feature of the disease. Cytological examination of swelling in both the cases showed neutrophils, lymphoid cells, clusters of foamy macrophages, histiocytes, and giant cells. Fite stain was positive, which confirmed the cytological diagnosis of ENL.


How to cite this article:
Semwal S, Joshi D, Goel G, Mittal N, Majumdar K, Kapoor N. Cytological diagnosis of erythema nodosum leprosum in clinically unsuspected cases: A report of two cases.J Cytol 2018;35:63-65


How to cite this URL:
Semwal S, Joshi D, Goel G, Mittal N, Majumdar K, Kapoor N. Cytological diagnosis of erythema nodosum leprosum in clinically unsuspected cases: A report of two cases. J Cytol [serial online] 2018 [cited 2022 Aug 9 ];35:63-65
Available from: https://www.jcytol.org/article.asp?issn=0970-9371;year=2018;volume=35;issue=1;spage=63;epage=65;aulast=Semwal;type=0