@article{7137,
  keywords = {Abdomen, Adult, Anti-Bacterial Agents, Diagnosis, Differential, Drug Therapy, Combination, Echocardiography, Endocarditis, Bacterial, Humans, Leg, Leprostatic Agents, Leprosy, lepromatous, Lung Diseases, Male, Skin Diseases, Thorax, Tomography, X-Ray Computed, Ulcer},
  author = {Chauhan S and D'Cruz S and Mohan H and Singh R and Ram J and Sachdev A},
  title = {Type II lepra reaction: an unusual presentation.},
  abstract = {<p>Ulcers with maculo-papular rash are an unusual presenting feature of leprosy. They occur as result of neuropathy, type-2 lepra reaction or Lucio's phenomenon. The hall mark of type-2 reaction is erythema nodosum. Very rarely it manifests as ulcerative skin lesions. We describe one such unusual case of a young male who presented with multiple ulcers and maculo-papular rash over the legs, chest and abdomen. In addition to this, he had fever, heart murmur, pulmonary infiltrates, neuropathy, and deranged liver function. A clinical differential diagnosis of infective endocarditis and systemic nectrozing vasculitis was made. Skin biopsy showed dense inflammation with lepra bacilli consistent with type-2 lepra reaction.</p>},
  year = {2006},
  journal = {Dermatology online journal},
  volume = {12},
  pages = {18},
  month = {2006 Jan 27},
  issn = {1087-2108},
  url = {http://escholarship.org/uc/item/448655c6},
  language = {eng},
}