Histological analysis of human leprosy periapical granulomas was condu
cted to study the histological responses to Mycobacterium leprae, Many
Langhans-type giant cells and epithelioid cell tubercles were observe
d, although M. leprae were not detected in leprosy periapical granulom
as, Although numerous T- and B-cells were infiltrated in leprosy peria
pical granuloma, the T-/B-cell ratio of leprosy is not changed to that
of periapical granulomas isolated from normal patients, These finding
s suggested that human leprosy periapical granulomas develop as a resu
lt of immunological responses to M. leprae.