患者男,51岁,左臂麻木性红斑4年,泛发躯干四肢4个月.外院疑似麻风但多次多部位查菌阴性,结合病史及详细体检最终确诊为结核样型麻风伴Ⅰ型麻风反应.给予MDT联合化疗,泼尼松等治疗后病情控制稳定.“,”A 51-year-old male complained of numb erythema on the left arm for 4 years,and erythemas all over the body for 4 months.Mycobacterium leprae was not found in the interstitial fluid of the skin although patient was suspected of leprosy.He was diagnosed as tuberculoid leprosy with type I leprosy reaction according to his medical history and physical examination.The disease condition was under control after treatments with multi-drug-therapy (MDT) and prednisone.