01062nas a2200253   4500000000100000008004100001260001600042653001000058653001100068653002100079653001100100653002500111653000900136653001300145653000900158100001100167700001900178245004000197856004500237300000700282490000700289520049800296022001400794       2006                            d  c2006 Mar 3010aAdult10aBiopsy10aErythema Nodosum10aHumans10aLeprosy, lepromatous10aMale10aNecrosis10aSkin1 aRai VM1 aBalachandran C00aNecrotic erythema nodosum leprosum.  uhttp://escholarship.org/uc/item/4mm3r7h9  a120 v123 a<p>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.</p>  a1087-2108