Necrotic erythema nodosum leprosum.
A 30 year-old farmer presented himself with mild degree fever, joint pain and multiple ulcers of 15 days' duration. Ulcers were multiple, well-defined, irregular in shape with necrotic base and elevated, sloppy margins over anus, forearms, wrists, buttocks, lower half of thighs and shins. A few of the ulcers were covered with black-coloured scab. They were tender and with serosanguinous discharge. Black atrophic scars and ill-defined, irregular, brown black-pigmented macules of various sizes were present over thighs and legs. Excision biopsy of the ulcer showed features of erythema nodosum leprosum. The patient was treated with systemic corticosteroids.
Barman
K Deb
KD
Department of Dermatology and Venereology, NSCB Medical College, Jabalpur 482003, Madhya Pradesh. kdebbarman@yahoo.com
Gupta
U
U
Saify
K
K
D000328:Adult; D004893:Erythema Nodosum / Q000150:complications* / Q000188:drug therapy / Q000473:pathology; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D015440:Leprosy, Lepromatous / Q000150:complications* / Q000188:drug therapy / Q000473:pathology; D008297:Male; D009336:Necrosis; D011239:Prednisolone / Q000627:therapeutic use
D005938:Glucocorticoids; D011239:Prednisolone