Type 2 lepra reactions (ENL) presenting with extensive cutaneous ulcerations
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 pres...
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| Format: | Article |
| Language: | English |
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Our Dermatology Online
2012-01-01
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| Series: | Nasza Dermatologia Online |
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| Online Access: | http://www.odermatol.com/wp-content/uploads/file/1_2012/3_Type%202%20lepra%20reaction.pdf |
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| author | Sapnashree Budhnoor Sreekantaiah Suhas Bettadapura Ramesh Shameem Shariff Hari Kishan Kumar Yadalla Sujatha Chankramath Hosahalli Rajaiah Yogeesh HR |
| author_facet | Sapnashree Budhnoor Sreekantaiah Suhas Bettadapura Ramesh Shameem Shariff Hari Kishan Kumar Yadalla Sujatha Chankramath Hosahalli Rajaiah Yogeesh HR |
| author_sort | Sapnashree Budhnoor Sreekantaiah |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-12T20:18:08Z |
| format | Article |
| id | doaj.art-735054546f7e4078863c942e7ef18bfe |
| institution | Directory Open Access Journal |
| issn | 2081-9390 |
| language | English |
| last_indexed | 2024-12-12T20:18:08Z |
| publishDate | 2012-01-01 |
| publisher | Our Dermatology Online |
| record_format | Article |
| series | Nasza Dermatologia Online |
| spelling | doaj.art-735054546f7e4078863c942e7ef18bfe2022-12-22T00:13:19ZengOur Dermatology OnlineNasza Dermatologia Online2081-93902012-01-01311720Type 2 lepra reactions (ENL) presenting with extensive cutaneous ulcerationsSapnashree Budhnoor SreekantaiahSuhas Bettadapura RameshShameem ShariffHari Kishan Kumar YadallaSujatha ChankramathHosahalli Rajaiah Yogeesh HRA 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.http://www.odermatol.com/wp-content/uploads/file/1_2012/3_Type%202%20lepra%20reaction.pdftype 2 Lepra reactionnecrotic ulcersAFBMDT |
| spellingShingle | Sapnashree Budhnoor Sreekantaiah Suhas Bettadapura Ramesh Shameem Shariff Hari Kishan Kumar Yadalla Sujatha Chankramath Hosahalli Rajaiah Yogeesh HR Type 2 lepra reactions (ENL) presenting with extensive cutaneous ulcerations Nasza Dermatologia Online type 2 Lepra reaction necrotic ulcers AFB MDT |
| title | Type 2 lepra reactions (ENL) presenting with extensive cutaneous ulcerations |
| title_full | Type 2 lepra reactions (ENL) presenting with extensive cutaneous ulcerations |
| title_fullStr | Type 2 lepra reactions (ENL) presenting with extensive cutaneous ulcerations |
| title_full_unstemmed | Type 2 lepra reactions (ENL) presenting with extensive cutaneous ulcerations |
| title_short | Type 2 lepra reactions (ENL) presenting with extensive cutaneous ulcerations |
| title_sort | type 2 lepra reactions enl presenting with extensive cutaneous ulcerations |
| topic | type 2 Lepra reaction necrotic ulcers AFB MDT |
| url | http://www.odermatol.com/wp-content/uploads/file/1_2012/3_Type%202%20lepra%20reaction.pdf |
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