A Case Report of Untreated Lepromatous Leprosy with AdvancedLepromatous Changes in Upper Respiratory Tract

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This is a report of an autopsy case of untreated lepromatous leprosy with advanced le-promatous lesions in upper respiratory tract.The patient was a 67 year-old male. The color of his face became darker in 1977. Hypoesthesia of extremities and loss of hair, eye blows and eye lashes occured at the same time. The swelling of the face increased and he became aware of hoarseness in the beginning of 1981. The general emaciation and hoarseness increased in the summar of 1981. The patient died of choking spell in November 1981. Clinical and histopathological diagnosis is LLP. B.I. is 6+.The autopsy findings are as follows :1) The root of tongue was infiltrated with lepromas.2) Submucosa of larynx was infiltrated by dffuse lepromatous granulomas.3) The normal structures of submandibular lymph node was completely destroyed and replaced by lepra cells.4) Numerous microlepromas were disseminated in the liver (both in hepatic lobules and Glisson's capsule), spleen (both T cell and B cell areas), cortex of adrenal glands, and testes.
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