Rusia Kaveri, Saoji Vikrant, Madke Bhushan, Singh Adarshlata
Department of Dermatology, Venereology and Leprosy, Datta Meghe Institute of Higher Education and Research, Jawaharlal Nehru Medical College, Wardha, India.
Case Rep Dermatol. 2024 Feb 23;16(1):47-54. doi: 10.1159/000536370. eCollection 2024 Jan-Dec.
Lucio leprosy is a non-nodular diffuse type of lepromatous leprosy first described by Lucio and Alvarado. Lucio phenomenon is a rare vasculonecrotic reaction characterized by cutaneous necrosis with minimal constitutional features.
We describe an unusual case of a 53-year-old man from Central India who had blisters, ulcers, and widespread erosions on his foot, forearms, and arms. The diagnosis of lepromatous leprosy with the Lucio phenomenon was established after thorough evaluation by clinical findings, histopathological findings, and slit-skin smear examination.
Lucio phenomenon is an uncommon cause of cutaneous infarction and necrosis. Primary care physicians should keep a high index of suspicion in patients with cutaneous necrosis and minimal constitution features. Since leprosy is a relatively curable disease, primary care physicians should think of a rare form of lepromatous leprosy presenting with cutaneous necrosis, especially in non-endemic zones.
卢西奥麻风是一种非结节性弥漫型瘤型麻风，最初由卢西奥和阿尔瓦拉多描述。卢西奥现象是一种罕见的血管坏死反应，其特征为皮肤坏死且全身症状轻微。
我们描述了一例来自印度中部的53岁男性的罕见病例，其足部、前臂和手臂出现水疱、溃疡及广泛糜烂。通过临床表现、组织病理学检查结果及皮肤涂片检查进行全面评估后，确诊为伴有卢西奥现象的瘤型麻风。
卢西奥现象是皮肤梗死和坏死的罕见原因。基层医疗医生应对有皮肤坏死且全身症状轻微的患者保持高度怀疑。由于麻风是一种相对可治愈的疾病，基层医疗医生应考虑到一种罕见的以皮肤坏死为表现的瘤型麻风，尤其是在非流行地区。
