Lepromatous leprosy

The answer to yesterday's diagnostic challenge is #2.  Leprosy.

 Most of you were correct.  The patient's face had multiple nodular lesions that coalesced into plaques.  After 9 months of multidrug treatment the skin infiltration and weakness in the left eyelid had diminished.

Leprosy is caused by the bacterium, Mycobacterium leprae.  It is not very contagious and has a long incubation