01272nas a2200253   4500000000100000008004100001260000900042653002200051653001800073653001100091653001400102653002300116653002500139653000900164653001600173100001200189700001200201700001400213245006100227300001000288490000800298520069800306022001401004       2012                            d  c201210aAged, 80 and over10aFatal Outcome10aHumans10aLeg Ulcer10aLeprostatic Agents10aLeprosy, lepromatous10aMale10aWest Indies1 aHuits R1 aOskam L1 aRaalte JA00a[Lucio's phenomenon in a patient with leprosy on Aruba].  aA42850 v1563 a<p><b>BACKGROUND: </b>Lucio's phenomenon is a rare leprosy reaction characterised by bizarrely-shaped, purpuric skin lesions and ulceration. It occurs in diffuse lepromatous leprosy and it is mainly reported in patients from Mexico and the Caribbean.</p><p><b>CASE DESCRIPTION: </b>We describe the case of a 90-year-old Aruban man with recurrent leg ulcers and flexion contractures of the lower extremities. Occurrence of Lucio's phenomenon led to a diagnosis of diffuse lepromatous leprosy. Presence of Mycobacterium leprae was demonstrated in skin, bone marrow and lymph nodes.</p><p><b>CONCLUSION: </b>Lucio's phenomenon led to a diagnosis of leprosy. Leprosy is still endemic in Aruba.</p>  a1876-8784