Diffuse Painless Ulcerations

Hernández, Fernando Gallardo; Rosa, Jaime Notario; Serra, Anna Jucglà; Rey, J. Peyri

doi:10.1001/archderm.135.8.983-b

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“…Consequently, diagnosis is often only made when patients present with Lucio's phenomenon, a potentially fatal leprosy reaction characterized by extensive, bizarrely shaped, painful purpuric skin lesions and ulcerations with a paucity of constitutional signs and symptoms. Lucio's phenomenon is rarely reported outside of Mexico and Costa Rica; 1-5 however, cases have been reported from other areas, such as the USA, 4,[6][7][8] Brazil, 3,9 Paraguay, 10 Spain, 11,12 Argentina, 13 South Africa, 14 Polynesia, 15 Iran, 16 India, 17,18 and Singapore. 19 In this paper, we report three cases with one fatal outcome seen in Malaysia.…”

Section: Introductionmentioning

confidence: 99%