A 38-year-old patient with hypopigmented nodular lesions with anesthesia over arm with ulnar nerve involvement underwent a biopsy. The intradermal antigen test was negative. Which statement is most accurate?

Options

1. Tuberculoid leprosy with a positive antigen test
2. Lepromatous leprosy with a positive antigen test
3. Erythema nodosum leprosum with a negative antigen test
4. Lepromatous leprosy with a negative antigen test

Correct Answer

Lepromatous leprosy with a negative antigen test

Explanation

The presentation of multiple hypopigmented nodular lesions with nerve involvement and a negative lepromin test (intradermal antigen test) is characteristic of lepromatous leprosy, which represents the low-immunity pole of the disease spectrum.

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