01622nas a2200157   4500000000100000008004100001260003100042100001500073700001300088245010700101856005900208300001000267490000600277520115600283022002501439       2021                            d  bComprehensive Publications1 aWidjaya SC1 aMariam L00aDiffuse multibacillary leprosy with Lucio’s phenomenon in east Lombok, west Nusa Tenggara, Indonesia  uhttps://www.dermatologypaper.com/article/view/87/4-2-8  a25-280 v43 a<p><strong>Introduction:</strong>Lucio's phenomenon (LP) is a rare leprosy reaction characterized by severe necrosis of the skin. LP is a variant of type II leprosy reaction by the involvement of immune complexes. LP is usually found in Mexico and Central America. This reaction is especially found in diffuse non-nodular lepromatous leprosy who have not received or completed leprosy treatment.</p>

<p><strong>Case:</strong>&nbsp;A 36 years woman with newly diagnosed Lucio’s phenomenon after initially being misdiagnosed with fungal infection for several months.</p>

<p><strong>Discussion:</strong>&nbsp;In clinically, LP may mimic other diseases such as mycosis and allergic reaction.Until now there is no consensus regarding LP treatment and combination MDT-MB and systemic corticosteroids are the options in this case.</p>

<p><strong>Conclusion:&nbsp;</strong>A proper history, physical examination, and histopathology are important diagnostic approaches to avoid misdiagnosis or underdiagnosis in LP cases especially in leprosy endemic regions. The combination of MDT-MB and systemic corticosteroids in FL gives a good response.</p>
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