{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T15:08:32Z","timestamp":1777907312111,"version":"3.51.4"},"reference-count":8,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2020,6,29]],"date-time":"2020-06-29T00:00:00Z","timestamp":1593388800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Trop Doct"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:p>Leprosy is caused by the obligate intracellular organism Mycobacterium leprae which mainly affects the skin and nervous system. The course of the disease is determined by host immunity, it is thus believed that in lepromatous leprosy (LL), all manifestations are bilaterally symmetrical. This is because of the inability of the host to mount an adequate cell-mediated immune response, resulting in widespread haematogenous dissemination of bacilli. Varied manifestations of LL have been reported; however, a multidermatomal pattern of nodules is hitherto unreported and we suggest a hypothesis for its presentation.<\/jats:p>","DOI":"10.1177\/0049475520932473","type":"journal-article","created":{"date-parts":[[2020,6,30]],"date-time":"2020-06-30T01:12:33Z","timestamp":1593479553000},"page":"378-380","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Zosteriform multidermatomal nodules and plaques in a case of lepromatous leprosy: an uncommon presentation"],"prefix":"10.1177","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0463-4153","authenticated-orcid":false,"given":"Sinu R","family":"Mathachan","sequence":"first","affiliation":[{"name":"Postgraduate Student, Department of Dermatology, Venereology and Leprosy, Dr. Ram Manohar Lohia and Post Graduate Institute of Medical Education and Research, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kabir","family":"Sardana","sequence":"additional","affiliation":[{"name":"Professor, Department of Dermatology, Venereology and Leprosy, Dr. Ram Manohar Lohia and Post Graduate Institute of Medical Education and Research, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7003-5952","authenticated-orcid":false,"given":"Arvind","family":"Ahuja","sequence":"additional","affiliation":[{"name":"Professor, Department of Pathology, Dr. Ram Manohar Lohia and Post Graduate Institute of Medical Education and Research, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mallika","family":"Lavania","sequence":"additional","affiliation":[{"name":"Research Scientist, Stanley Browne Laboratory, The Leprosy Mission Community Hospital, Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diksha","family":"Agrawal","sequence":"additional","affiliation":[{"name":"Postgraduate Student, Department of Dermatology, Venereology and Leprosy, Dr. Ram Manohar Lohia and Post Graduate Institute of Medical Education and Research, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,6,29]]},"reference":[{"key":"bibr1-0049475520932473","volume-title":"Handbook of Leprosy","author":"Jopling WH","year":"1999","edition":"5"},{"key":"bibr2-0049475520932473","doi-asserted-by":"publisher","DOI":"10.1111\/ijd.12237"},{"key":"bibr3-0049475520932473","doi-asserted-by":"publisher","DOI":"10.1590\/abd1806-4841.20142964"},{"key":"bibr4-0049475520932473","doi-asserted-by":"crossref","first-page":"224","DOI":"10.47276\/lr.81.3.224","volume":"81","author":"Maroja MD","year":"2010","journal-title":"Lepr Rev"},{"key":"bibr5-0049475520932473","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-4632.2009.04141.x"},{"key":"bibr6-0049475520932473","first-page":"237","volume-title":"Leprosy","author":"Pfaltzgraff RE","year":"1985"},{"key":"bibr7-0049475520932473","doi-asserted-by":"publisher","DOI":"10.1007\/BF01990292"},{"key":"bibr8-0049475520932473","doi-asserted-by":"crossref","unstructured":"Ridley DS. 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