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  Indian J Med Microbiol
 

Figure 1: PET MIP images (a-d) increased FDG uptake in enlarged lymph nodes in the bilateral inguinal region and axilla (a) with diffuse FDG uptake in skin of bilateral pinna (b), skin of scrotum (c), skin lesions in bilateral forearm (d). Slit skin smear from pinna using modified ZN stain was positive for Mycobacterium leprae bacilli with bacillary index (BI) score 4+ (e). Biopsy from forearm lesions showed periadnexal and perivascular inflammation (f) . suggestive of erythema nodusum leprosum (ENL)

Figure 1: PET MIP images (a-d) increased FDG uptake in enlarged lymph nodes in the bilateral inguinal region and axilla (a) with diffuse FDG uptake in skin of bilateral pinna (b), skin of scrotum (c), skin lesions in bilateral forearm (d). Slit skin smear from pinna using modified ZN stain was positive for Mycobacterium leprae bacilli with bacillary index (BI) score 4+ (e). Biopsy from forearm lesions showed periadnexal and perivascular inflammation (f) . suggestive of erythema nodusum leprosum (ENL)