Lucio Phenomenon: An Unusual Case of Skin Necrosis

Introduction: Lucio leprosy is a non-nodular diffuse type of lepromatous leprosy first described by Lucio and Alvarado. Lucio phenomenon is a rare vasculonecrotic reaction characterized by cutaneous necrosis with minimal constitutional features. Case Presentation: We describe an unusual case of a 53...

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Main Authors: Kaveri Rusia, Vikrant Saoji, Bhushan Madke, Adarshlata Singh
Format: Article
Language:English
Published: Karger Publishers 2024-02-01
Series:Case Reports in Dermatology
Subjects:
Online Access:https://beta.karger.com/Article/FullText/536370
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author Kaveri Rusia
Vikrant Saoji
Bhushan Madke
Adarshlata Singh
author_facet Kaveri Rusia
Vikrant Saoji
Bhushan Madke
Adarshlata Singh
author_sort Kaveri Rusia
collection DOAJ
description Introduction: Lucio leprosy is a non-nodular diffuse type of lepromatous leprosy first described by Lucio and Alvarado. Lucio phenomenon is a rare vasculonecrotic reaction characterized by cutaneous necrosis with minimal constitutional features. Case Presentation: We describe an unusual case of a 53-year-old man from Central India who had blisters, ulcers, and widespread erosions on his foot, forearms, and arms. The diagnosis of lepromatous leprosy with the Lucio phenomenon was established after thorough evaluation by clinical findings, histopathological findings, and slit-skin smear examination. Conclusion: Lucio phenomenon is an uncommon cause of cutaneous infarction and necrosis. Primary care physicians should keep a high index of suspicion in patients with cutaneous necrosis and minimal constitution features. Since leprosy is a relatively curable disease, primary care physicians should think of a rare form of lepromatous leprosy presenting with cutaneous necrosis, especially in non-endemic zones.
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spelling doaj.art-c8f5f46f4b5049a1aa3d55e19f35c3b22024-03-21T08:27:29ZengKarger PublishersCase Reports in Dermatology1662-65672024-02-01161556210.1159/000536370536370Lucio Phenomenon: An Unusual Case of Skin NecrosisKaveri Rusia0Vikrant Saoji1Bhushan Madke2Adarshlata Singh3Department of Dermatology, Venereology and Leprosy, Datta Meghe Institute of Higher Education and Research, Jawaharlal Nehru Medical College, Wardha, IndiaDepartment of Dermatology, Venereology and Leprosy, Datta Meghe Institute of Higher Education and Research, Jawaharlal Nehru Medical College, Wardha, IndiaDepartment of Dermatology, Venereology and Leprosy, Datta Meghe Institute of Higher Education and Research, Jawaharlal Nehru Medical College, Wardha, IndiaDepartment of Dermatology, Venereology and Leprosy, Datta Meghe Institute of Higher Education and Research, Jawaharlal Nehru Medical College, Wardha, IndiaIntroduction: Lucio leprosy is a non-nodular diffuse type of lepromatous leprosy first described by Lucio and Alvarado. Lucio phenomenon is a rare vasculonecrotic reaction characterized by cutaneous necrosis with minimal constitutional features. Case Presentation: We describe an unusual case of a 53-year-old man from Central India who had blisters, ulcers, and widespread erosions on his foot, forearms, and arms. The diagnosis of lepromatous leprosy with the Lucio phenomenon was established after thorough evaluation by clinical findings, histopathological findings, and slit-skin smear examination. Conclusion: Lucio phenomenon is an uncommon cause of cutaneous infarction and necrosis. Primary care physicians should keep a high index of suspicion in patients with cutaneous necrosis and minimal constitution features. Since leprosy is a relatively curable disease, primary care physicians should think of a rare form of lepromatous leprosy presenting with cutaneous necrosis, especially in non-endemic zones.https://beta.karger.com/Article/FullText/536370lucio phenomenonulcercutaneous necrosismicrovascular occlusionleprosy
spellingShingle Kaveri Rusia
Vikrant Saoji
Bhushan Madke
Adarshlata Singh
Lucio Phenomenon: An Unusual Case of Skin Necrosis
Case Reports in Dermatology
lucio phenomenon
ulcer
cutaneous necrosis
microvascular occlusion
leprosy
title Lucio Phenomenon: An Unusual Case of Skin Necrosis
title_full Lucio Phenomenon: An Unusual Case of Skin Necrosis
title_fullStr Lucio Phenomenon: An Unusual Case of Skin Necrosis
title_full_unstemmed Lucio Phenomenon: An Unusual Case of Skin Necrosis
title_short Lucio Phenomenon: An Unusual Case of Skin Necrosis
title_sort lucio phenomenon an unusual case of skin necrosis
topic lucio phenomenon
ulcer
cutaneous necrosis
microvascular occlusion
leprosy
url https://beta.karger.com/Article/FullText/536370
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AT bhushanmadke luciophenomenonanunusualcaseofskinnecrosis
AT adarshlatasingh luciophenomenonanunusualcaseofskinnecrosis