We performed an immunohistochemical analysis of a skin lesion from a p
atient with AIDS who had borderline tuberculoid Hansen's disease. We a
lso evaluated other laboratory features and performed peripheral blood
flow cytometric analysis. The in situ immunologic response to Mycobac
terium leprae was minimally affected by concomitant infection and immu
nosuppression by HIV. The skin demonstrated the typical characteristic
s of borderline tuberculoid lesions. These results indicate that altho
ugh a patient with HIV infection may have laboratory evidence typical
of the immunosuppression seen in AIDS, the immunologic response to M.
leprae is essentially unchanged.