Type 2 lepra reactions (ENL) presenting with extensive cutaneous ulcerations
Journal Title: Nasza Dermatologia Online - Year 2012, Vol 3, Issue 1
Abstract
A 45 year old lady presented with multiple painful necrotic ulcerations over the trunk, arms, thighs and gluteal areas of two months duration. She also had erythematous papules and pustules over the face since 1 week. History of recurrent papular lesions, some of them undergoing ulceration were present since 3 years. All biochemical parameters were within normal limits. Rheumatoid factor, ANA, Elisa for HIV and VDRL were negative. Pus culture showed growth of Staphylococcus aureus. Smear for AFB showed multiple globi. Skin biopsy showed atrophic epidermis with grenz zone; dermis showed sheets of foamy macrophages and oedematous blood vessels infiltrated with neutrophils and ocasional plasma cells. Patient was admitted and was started on MDT-MB along with thalidomide and prednisolone.
Authors and Affiliations
Hosahalli Yogeesh HR, Sujatha Chankramath, Hari Yadalla, Shameem Shariff, Suhas Ramesh, Sapnashree Sreekantaiah
Maduromycosis of foot
-
Przypadek nocardia mycetoma występującego w miejscu przeszczepu skóry
Mycetoma są przewlekłymi, skórnymi chorobami zakaźnymi, obejmujące tkankę podskórną i głębiej położone tkanki, spowodowane przez grzyby lub/i nitkowate bakterie, charakteryzujące się nabrzmieniem, guzkami i zatokami. Eum...
Lipschütz ulcer: a rare diagnosis to keep in mind
Lipschütz ulcer (LU) is a rare condition that usually affects prepubertal and pubertal girls. It can be misdiagnosed as a sexually transmitted disease or even as a sign of child abuse, causing great anxiety to patients a...
A case of pemphigus foliaceus and pustular psoriasis with a brief review of literature
Rarely pemphigus foliaceus could be associated with generalized pustular psoriasis. A 66-year-old woman with diffuse flaccid bullae and erosions of pemphigus foliaceus underwent two sessions of pulse therapy of corticost...
Dermoscopy of shagreen patch: A first report
The name is derived from French phrase peau chagrinee which is usually found on lower back, buttock and thigh. The major rmanifestations of Tuberous sclerosis include skin lesions in more than 95%, mental retardation in...