Introduction: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.
Case: A 36 years woman with newly diagnosed Lucio’s phenomenon after initially being misdiagnosed with fungal infection for several months.
Discussion: 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.
Conclusion: 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.
BT - International Journal of Dermatology, Venereology and Leprosy Sciences DO - 10.33545/26649411.2021.v4.i2a.87 IS - 2 LA - eng N2 -Introduction: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.
Case: A 36 years woman with newly diagnosed Lucio’s phenomenon after initially being misdiagnosed with fungal infection for several months.
Discussion: 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.
Conclusion: 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.
PB - Comprehensive Publications PY - 2021 SP - 25 EP - 28 T2 - International Journal of Dermatology, Venereology and Leprosy Sciences TI - Diffuse multibacillary leprosy with Lucio’s phenomenon in east Lombok, west Nusa Tenggara, Indonesia UR - https://www.dermatologypaper.com/article/view/87/4-2-8 VL - 4 SN - 2664-9411, 2664-942X ER -