Rai Vandana Mehta, Balachandran C
Department of Skin and STD, Kasturba Medical College, Manipal, Karnataka.
Dermatol Online J. 2006 Mar 30;12(3):12.
A 32-year-old fisherman suffering from lepromatous leprosy presented with fever, joint pains, bullous lesions, and multiple well-defined ulcers on the extremities and back of 10-days duration. The bullae ruptured to form ulcers of varying sizes with well-defined margins and necrotic bases. A few of the ulcers had black crusts resembling eschars. An immunofluorescence study ruled out autoimmune bullous disease. Histopathology of a lesion showed features of erythema nodosum leprosum.
一名32岁的瘤型麻风渔民，出现发热、关节疼痛、大疱性皮损，以及四肢和背部出现多个边界清晰的溃疡，病程10天。水疱破裂形成大小不等的溃疡，边缘清晰，基底坏死。少数溃疡有类似焦痂的黑色痂皮。免疫荧光检查排除了自身免疫性大疱性疾病。病变的组织病理学表现为结节性红斑狼疮的特征。
