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Washington University Experience | PERIPHERAL NEUROPATHY | 10 INFECTION | 3 Leprosy – Lepromatous | 1A3 Leprosy, lepromatous-pluribacillary lepra (Case 1) H&E 16

1A3,4 These fascicles show large numbers of macrophages and Schwann cells filled with organisms and debris (foamy cells) appear in the epineurium, endoneurium, and perineurium, with perineurial proliferation resulting in onion-skinning. (H&E)

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