title: [Lucio's phenomenon in a patient with leprosy on Aruba].
abstract: BACKGROUND
  Lucio's phenomenon is a rare leprosy reaction characterised by bizarrely-shaped, purpuric skin lesions and ulceration. It occurs in diffuse lepromatous leprosy and it is mainly reported in patients from Mexico and the Caribbean.
  
  
  METHODS
  We describe the case of a 90-year-old Aruban man with recurrent leg ulcers and flexion contractures of the lower extremities. Occurrence of Lucio's phenomenon led to a diagnosis of diffuse lepromatous leprosy. Presence of Mycobacterium leprae was demonstrated in skin, bone marrow and lymph nodes.
  
  
  CONCLUSIONS
  Lucio's phenomenon led to a diagnosis of leprosy. Leprosy is still endemic in Aruba.
authors.affiliation: Dr. Horacio E. Oduber Hospitaal, afd. Interne geneeskunde, Oranjestad, Aruba. ralph.huits@gmail.com
authors.forename: Ralph M H G
authors.initials: RM
authors.lastname: Huits
authors.forename: Linda
authors.initials: L
authors.lastname: Oskam
authors.forename: Johannes A
authors.initials: JA
authors.lastname: van Raalte
mesh_terms: D000369:Aged, 80 and over; D017809:Fatal Outcome; D006801:Humans; D007871:Leg Ulcer / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D007917:Leprostatic Agents / Q000627:therapeutic use; D015440:Leprosy, Lepromatous / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D008297:Male; D014900:West Indies
chemical_list: D007917:Leprostatic Agents