Lepra Reaction with Lucio Phenomenon Mimicking Cutaneous Vasculitis
Corresponding Author
Durga Prasanna Misra
Department of Clinical Immunology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow 226014, India sgpgi.ac.in
Search for more papers by this authorJyoti Ranjan Parida
Department of Clinical Immunology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow 226014, India sgpgi.ac.in
Search for more papers by this authorAbhra Chandra Chowdhury
Department of Clinical Immunology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow 226014, India sgpgi.ac.in
Search for more papers by this authorKrushna Chandra Pani
Department of Pathology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow 226014, India sgpgi.ac.in
Search for more papers by this authorNiraj Kumari
Department of Pathology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow 226014, India sgpgi.ac.in
Search for more papers by this authorNarendra Krishnani
Department of Pathology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow 226014, India sgpgi.ac.in
Search for more papers by this authorVikas Agarwal
Department of Clinical Immunology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow 226014, India sgpgi.ac.in
Search for more papers by this authorCorresponding Author
Durga Prasanna Misra
Department of Clinical Immunology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow 226014, India sgpgi.ac.in
Search for more papers by this authorJyoti Ranjan Parida
Department of Clinical Immunology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow 226014, India sgpgi.ac.in
Search for more papers by this authorAbhra Chandra Chowdhury
Department of Clinical Immunology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow 226014, India sgpgi.ac.in
Search for more papers by this authorKrushna Chandra Pani
Department of Pathology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow 226014, India sgpgi.ac.in
Search for more papers by this authorNiraj Kumari
Department of Pathology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow 226014, India sgpgi.ac.in
Search for more papers by this authorNarendra Krishnani
Department of Pathology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow 226014, India sgpgi.ac.in
Search for more papers by this authorVikas Agarwal
Department of Clinical Immunology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow 226014, India sgpgi.ac.in
Search for more papers by this authorAbstract
Leprosy is a disease typically found in the tropics. Patients with leprosy can have varying presentation with constitutional symptoms, joint pains, skin nodules, and rarely a vasculitis-like picture with skin ulcers and neuropathy. We present a young lady who presented with the rare manifestation of skin infarcts mimicking cutaneous vasculitis, diagnosed on histopathology to have Lucio phenomenon on a background of lepromatous leprosy. With increasing migration and widespread use of biologic response modifiers, clinicians all over the world need to be aware of various presentations of leprosy as well as needing to keep an open mind while considering the differential diagnoses of vasculitis.
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