What Is Your Diagnosis? Hansen Disease (Leprosy)

A 57-year-old Vietnamese woman presented with facial redness on the left cheek of 6 months’ duration. She attributed the redness to an allergic reaction from eating seafood. Treatment with oral doxycycline was not effective. While living in Vietnam, she had been treated with a combination of clobetasol propionate and neomycin cream 0.05%.