01214nas a2200205 4500000000100000008004100001100001300042700001400055700001700069700001200086700001300098700001600111700001400127245007300141856004700214300001100261490000900272520071300281022001400994 2014 d1 aMisra DP1 aParida JR1 aChowdhury AC1 aPani KC1 aKumari N1 aKrishnani N1 aAgarwal V00aLepra reaction with lucio phenomenon mimicking cutaneous vasculitis. uhttp://europepmc.org/abstract/MED/25580317 a6419890 v20143 a

Leprosy is a disease typically found in the tropics. Patients with leprosy can have varying presentation with constitutional symptoms, joint pains, skin nodules, and rarely a vasculitis-like picture with skin ulcers and neuropathy. We present a young lady who presented with the rare manifestation of skin infarcts mimicking cutaneous vasculitis, diagnosed on histopathology to have Lucio phenomenon on a background of lepromatous leprosy. With increasing migration and widespread use of biologic response modifiers, clinicians all over the world need to be aware of various presentations of leprosy as well as needing to keep an open mind while considering the differential diagnoses of vasculitis.

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