Necrotic erythema nodosum leprosum.
A 32-year-old fisherman suffering from lepromatous leprosy presented with fever, joint pains, bullous lesions, and multiple well-defined ulcers on the extremities and back of 10-days duration. The bullae ruptured to form ulcers of varying sizes with well-defined margins and necrotic bases. A few of the ulcers had black crusts resembling eschars. An immunofluorescence study ruled out autoimmune bullous disease. Histopathology of a lesion showed features of erythema nodosum leprosum.
Rai
Vandana Mehta
VM
Department of Skin and STD, Kasturba Medical College, Manipal, Karnataka. vandanamht@yahoo.com
Balachandran
C
C
D000328:Adult; D001706:Biopsy; D004893:Erythema Nodosum / Q000473:pathology*; D006801:Humans; D015440:Leprosy, Lepromatous / Q000473:pathology*; D008297:Male; D009336:Necrosis; D012867:Skin / Q000473:pathology