A 45 year old male had multiple hypoaesthetic mildly erythematous large plaques with elevated margins on trunk and extremities. His ulnar and lateral popliteal nerves on both sides were enlarged. The most probable diagnosis is –

This patient has:- Multiple lesions Hypoesthetic Bilateral symmetrical nerve thickening These favour lepromatous end of the spectrum. Now question arises, whether it is BL or LL. Point two (Hypoesthetic) differentiates the two:- Sensations IL : Hypoesthetic or  Normoesthetic TT : Anesthetic BT : Hypoesthetic sometimes anaesthetic BB : Hypoesthetic BL : Hypoesthetic LL : Normoesthetic Late glove & stocking anaesthetic