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Lepromatous leprosy in erythema nodosum leprosum reaction mimicking Sweet’s syndrome
Author(s) -
Heng YeeKiat,
Chiam YuunTirng Lynn,
Giam YokeChin,
Chong WeiSheng
Publication year - 2011
Publication title -
international journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.677
H-Index - 93
eISSN - 1365-4632
pISSN - 0011-9059
DOI - 10.1111/j.1365-4632.2010.04686.x
Subject(s) - medicine , pathology , skin biopsy , erythema nodosum , leprosy , neutrophilia , histopathology , lepromatous leprosy , papillary dermis , dermatology , dermis , biopsy , disease , immunology
A 52-year-old Malay man presented with an acute oneweek history of multiple erythematous papules andnodules on the limbs, trunk, and face. On physical exami-nation, he had multiple erythematous nontender, non-pruritic nodules and plaques on the trunk, limbs, andforehead (Fig. 1). A few nodules showed pustulation andulceration (Fig. 2). He was febrile at 38 C. Systemicreview and general examination were normal. There wereno thickened nerves, neurological decits, or deformitiesof the hands or feet. Eyes and oral mucosa were normal.The initial clinical impression was that of Sweet’s syn-drome in view of the acute onset of typical lesions andfever. Complete blood count revealed marked leukocytosis(24.1 · 10