Open AccessRecurrent Ulcerations and Neuropathy in a Filipino Child with Previously Undiagnosed Leprosy: A Case of Lucio Phenomenon in the Philippines
Author(s) -
Mia Katrina R. Gervasio,
Aznaida T. Pandapatan,
Belen L. Dofitas
Publication year - 2019
Publication title -
acta medica philippina/acta medica philippina
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.128
H-Index - 4
eISSN - 2094-9278
pISSN - 0001-6071
DOI - 10.47895/amp.v53i2.193
Subject(s) - medicine , leprosy , dermatology , surgery , presentation (obstetrics) , lepromatous leprosy , biopsy , pathology
Lucio phenomenon is a distinct necrotizing lepra reaction arising from diffuse lepromatous leprosy that may easily be mistaken for other systemic conditions. We report a 17-year old female admitted for a 4-year history of recurrent, extensive ulcerations with crusting and purulent discharge, involving the arms, legs, face, and back. Clinical presentation, slit skin smear and skin biopsy confirmed the diagnosis of Lucio phenomenon and treatment with multidrug therapy resulted in resolution of the ulcerations.