Case Report
BibTex RIS Cite

A vasculonecrotic Type 2 Lepra Reaction Mimicking Lucio Phenomenon

Year 2019, , 133 - 136, 15.09.2019
https://doi.org/10.5799/jmid.614266

Abstract

Multibacillary, lepromatous or borderline
leprosy patients may present two types Vasculonecrotic reactions: Erythema
Nodosum Leprosum (ENL) with vasculitis and Lucio Phenomenon. ENL is Type 2
Lepra Reaction while Lucio Phenomenon commonly seen in nonnodular diffuse
leprosy patients, mainly reported from Mexico. Here we reported a case of 20
year old male, RFT (Relief From Treatment) leprosy patient presented with
fever, malaise, joint pain, edema over hands and feet and red tender elevated
nodules. Interestingly, within 3 days of admission he developed multiple
vesicular erythema multiforme like eruption on chest, back and upper extremity,
which broken down to form necrotic ulcer in following 4 days. Biopsy showed
leucocytoclastic vasculitis and fibrin deposition in vessel walls. Furthermore,
USG of both ulnar nerves showed thickening. These clinical and
histopathological features helped us to arrive at the diagnosis of the ENL with
vasculonecrotic phenomenon.
J Microbiol Infect Dis 2019; 9(3):133-136.

References

  • 1. Belgaumkumar VA, Chavan RB, Salunle AS, Chirame SS. De-novo Ulceration - Rare Lazarine leprosy- like presentation of Borderline Lepromatous Hansen’s Disease. Indian J Lepr 2018; 90:69-73 2. Kahawita IP; Walker SL, Lockwood DNJ. Leprosy type 1 reactions and erythema nodosum Leprosum. An Bras Dermatol 2008; 83 (1):75-82. 3. Ranugha P, Chandrashekhar L, Kumari R, Thappa DM, Badhe B. Is It Lucio Phenomenon or Necrotic Nodosum Leprosum? Indian J Dermatol. 2013; 58(2):160. 4. Voorend CG, Post EB. A Systematic Review on the Epidemiological Data of Erythema Nodosum Leprosum, a Type 2 Leprosy Reaction. PLoS Negl Trop Dis 2013 (10): e2440. 5. Bharti AH, Patel P. A Case of Hansen's Disease Presenting with Lucio Phenomenon from Gujarat, India. Indian J Lepr 2017, 89: 217-224. 6. Fogangolo L; de Souza EM; Cintra ML, Vehlo PENF. Vasculonecrotic reactions in leprosy. Braz J Infect Dis. 2007; 11(3):378-382.
Year 2019, , 133 - 136, 15.09.2019
https://doi.org/10.5799/jmid.614266

Abstract

References

  • 1. Belgaumkumar VA, Chavan RB, Salunle AS, Chirame SS. De-novo Ulceration - Rare Lazarine leprosy- like presentation of Borderline Lepromatous Hansen’s Disease. Indian J Lepr 2018; 90:69-73 2. Kahawita IP; Walker SL, Lockwood DNJ. Leprosy type 1 reactions and erythema nodosum Leprosum. An Bras Dermatol 2008; 83 (1):75-82. 3. Ranugha P, Chandrashekhar L, Kumari R, Thappa DM, Badhe B. Is It Lucio Phenomenon or Necrotic Nodosum Leprosum? Indian J Dermatol. 2013; 58(2):160. 4. Voorend CG, Post EB. A Systematic Review on the Epidemiological Data of Erythema Nodosum Leprosum, a Type 2 Leprosy Reaction. PLoS Negl Trop Dis 2013 (10): e2440. 5. Bharti AH, Patel P. A Case of Hansen's Disease Presenting with Lucio Phenomenon from Gujarat, India. Indian J Lepr 2017, 89: 217-224. 6. Fogangolo L; de Souza EM; Cintra ML, Vehlo PENF. Vasculonecrotic reactions in leprosy. Braz J Infect Dis. 2007; 11(3):378-382.
There are 1 citations in total.

Details

Primary Language English
Journal Section Case Report
Authors

Shreya Pradipbhai Somani This is me

Hita Hemant This is me

Mehta Milan This is me

Dilipkumar Jhavar This is me

Bhavesh N. Astik This is me

Rahul Lakhotia This is me

Publication Date September 15, 2019
Published in Issue Year 2019

Cite

APA Somani, S. P., Hemant, H., Milan, M., Jhavar, D., et al. (2019). A vasculonecrotic Type 2 Lepra Reaction Mimicking Lucio Phenomenon. Journal of Microbiology and Infectious Diseases, 09(03), 133-136. https://doi.org/10.5799/jmid.614266
AMA Somani SP, Hemant H, Milan M, Jhavar D, Astik BN, Lakhotia R. A vasculonecrotic Type 2 Lepra Reaction Mimicking Lucio Phenomenon. J Microbil Infect Dis. September 2019;09(03):133-136. doi:10.5799/jmid.614266
Chicago Somani, Shreya Pradipbhai, Hita Hemant, Mehta Milan, Dilipkumar Jhavar, Bhavesh N. Astik, and Rahul Lakhotia. “A Vasculonecrotic Type 2 Lepra Reaction Mimicking Lucio Phenomenon”. Journal of Microbiology and Infectious Diseases 09, no. 03 (September 2019): 133-36. https://doi.org/10.5799/jmid.614266.
EndNote Somani SP, Hemant H, Milan M, Jhavar D, Astik BN, Lakhotia R (September 1, 2019) A vasculonecrotic Type 2 Lepra Reaction Mimicking Lucio Phenomenon. Journal of Microbiology and Infectious Diseases 09 03 133–136.
IEEE S. P. Somani, H. Hemant, M. Milan, D. Jhavar, B. N. Astik, and R. Lakhotia, “A vasculonecrotic Type 2 Lepra Reaction Mimicking Lucio Phenomenon”, J Microbil Infect Dis, vol. 09, no. 03, pp. 133–136, 2019, doi: 10.5799/jmid.614266.
ISNAD Somani, Shreya Pradipbhai et al. “A Vasculonecrotic Type 2 Lepra Reaction Mimicking Lucio Phenomenon”. Journal of Microbiology and Infectious Diseases 09/03 (September 2019), 133-136. https://doi.org/10.5799/jmid.614266.
JAMA Somani SP, Hemant H, Milan M, Jhavar D, Astik BN, Lakhotia R. A vasculonecrotic Type 2 Lepra Reaction Mimicking Lucio Phenomenon. J Microbil Infect Dis. 2019;09:133–136.
MLA Somani, Shreya Pradipbhai et al. “A Vasculonecrotic Type 2 Lepra Reaction Mimicking Lucio Phenomenon”. Journal of Microbiology and Infectious Diseases, vol. 09, no. 03, 2019, pp. 133-6, doi:10.5799/jmid.614266.
Vancouver Somani SP, Hemant H, Milan M, Jhavar D, Astik BN, Lakhotia R. A vasculonecrotic Type 2 Lepra Reaction Mimicking Lucio Phenomenon. J Microbil Infect Dis. 2019;09(03):133-6.

Cited By