A 65-year-old farmer presented with maculopapular nodules, a chronic productive cough, and chest pain. The skin lesions had first appeared 10 years ago as lichenoid lesions, which later evolved into hypopigmented papules. There was no other significant medical history. The patient had used a number of antibiotics, analgesics, and traditional medicines but to no avail. Physical examination Hypopigmented lichenoid lesions 2–5 cm in diameter Location: Base of the nose Lesions with sensory loss Visual examination: Normal Rales over right bronchus Laboratory examination Hemoglobin: 9 g/dl Blood sugar: Normal Renal functions: Normal Hepatic functions: Normal Sputum examination and ZN-smear of skin were negative.
The patient was HIV-negative. Chest X-ray images have been provided. What can be the probable diagnosis? (Answer is posted in the comment section below!) *This patient case is from…
