[Clinical Picture] Leprosy and leukaemia: an unexpected interaction

A 64-year-old man first presented 6 years ago with multiple skin nodules, limb numbness, pain, and pruritus. Facial oedema developed 1 year later. An initial complete blood count showed leukocytosis and lymphocytosis (appendix p 1). Bone marrow aspiration established a diagnosis of chronic lymphocytic leukaemia and watchful waiting was instituted.