PMID: 16638426Apr 28, 2006Paper

Necrotic erythema nodosum leprosum

Dermatology Online Journal
Vandana Mehta Rai, C Balachandran

Abstract

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.

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