01303nas a2200193   4500000000100000008004100001653001700042653001200059100001800071700001400089700001800103700001200121245004800133856006800181300001000249490000700259520082900266022001401095       2019                            d10aErythroderma10aleprosy1 aBaldissera RL1 aShwetz GA1 aFillus Neto J1 aVigo NR00aErythroderma as a manifestation of leprosy.  uhttp://www.scielo.br/pdf/abd/v94n1/0365-0596-abd-94-01-0089.pdf  a89-920 v943 a<p>Erythroderma consists of erythema and scaling involving most or all of the body surface. This generalized eruption may be idiopathic, drug-induced or secondary to cutaneous or systemic disease. A 71-year-old man is reported presenting generalized erythema and desquamation with deck-chair sign, nail dystrophy, and plantar ulcers associated with loss of local tactile sensitivity. Biopsies from three different sites demonstrated diffuse lymphocytic infiltrate with incipient granulomas. Fite-Faraco staining showed numerous isolated bacilli and globi. The skin smear was positive. Clinical and pathological diagnosis of borderline lepromatous leprosy was confirmed. This report demonstrates that chronic multibacillary leprosy can manifest as erythroderma and thus should be included in the differential diagnosis.</p>
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