My unit recently had a patient referred to us by his GP with what appeared to be squamous cell carcinoma on his hands and feet.
It looked atypical for SCC and the cytology results showed no carcinoma in situ. The unit was mightily puzzled. The symptoms were odd too, no pain but widespread lack of feeling in the affected parts.
One of our older consultants had a hunch, sent off a test and dang us if this wasn't leprosy. We cannot understand it, the patient is a young man of English origin, never travelled further than Spain, no known contacts from any country where leprosy is still endemic. A mystery.
Has anyone else been similarly surprised at a diagnosis?
