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. 2021 Mar 22:54:e0874-2020.
doi: 10.1590/0037-8682-0874-2020. eCollection 2021.

Lucio's phenomenon, a mutilating manifestation of leprosy

Affiliations

Lucio's phenomenon, a mutilating manifestation of leprosy

Eduardo Vinicius Mendes Roncada et al. Rev Soc Bras Med Trop. .
No abstract available

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Conflict of interest statement

Conflict of Interest: The authors declare that there is no conflict of interest.

Figures

FIGURE 1:
FIGURE 1:. (A) Plantar region of the right foot with ulcerations and areas of necrosis on the toes at the first day of hospitalization. (B) Dorsal region of the right foot with areas of necrosis.
FIGURE 2:
FIGURE 2:. (A) Ziehl-Neelsen stain (40×) in this image; the Hansen’s bacilli are red stained with fuchsin, and they are isolated or bounded together forming the globi (black circles) in the macrophage’s cytoplasm, designated as Virchow’s cells; (B) Ziehl-Neelsen stain (100×). In the upper dermis, the presence of numerous Hansen’s bacilli was observed, isolated (arrow 1) and in clusters (black circle). Another important characteristic such as the presence of Hansen’s bacilli invading the vessel (arrow 2) can be seen; (C) Ziehl-Neelsen stain (400×). The presence of Hansen’s bacilli through the dermis and surrounding the blood vessel, invading the vascular wall (arrow 3) and in the vascular lumen (arrow 4).
FIGURE 3:
FIGURE 3:. (A) Plantar region of the right foot with significant improvement. (B) Dorsal region of the right foot with significant improvement 20 days after starting the specific treatment.

References

    1. Peixoto AB, Portela PS, Leal FR, Brotas AM, Rodrigues NC. Lucio's phenomenon. Case study of an exceptional response to treatment exclusively with multibacillary multidrug therapy. An Bras Dermatol. 2013;88(6 Suppl 1):93–96. doi: 10.1590/abd1806-4841.20132398. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3876018/ - DOI - PMC - PubMed
    1. Monteiro R, Abreu MA, Tiezzi MG, Roncada EV, Oliveira CC, Ortigosa LC. Lucio's phenomenon: another case reported in Brazil. An Bras Dermatol. 2012;87(2):296–300. doi: 10.1590/S0365-05962012000200017. http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962012000... - DOI - PubMed
    1. Azulay M, Spinelli L. Revisiting Lucio’s leprosy and Lucio’s phenomenon. Med-Cutan Iber Lat Am. 2005;33(3):125–133. https://www.medigraphic.com/pdfs/cutanea/mc-2005/mc053g.pdf

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