Lucio's phenomenon: a case report and review of the literature.

摘要

A 34-year-old white Brazilian female was admitted to the Dermatology Infirmary of the University Hospital of Brasilia-DF, Brazil presenting dark skin lesions over the upper and lower extremities.The patient reported that 12 years prior to consultation she started specific therapy for lepromatous leprosy (LL), but stopped it after the first month of treatment.On physical examination, diffuse skin infiltration was observed, especially on the face, with bilateral madarosis and necrotic lesions on both cheeks and on the earlobes. Saddle nose was noted. Necrotic, dark, irregular-shaped lesions were also seen over the upper and lower extremities. Some of the lesions were bullous, coalescent and deeply ulcerated. Body temperature was normal.