01433nas a2200229   4500000000100000008004100001260001200042653001200054653002300066653003100089653001600120100001200136700001500148700001700163700001300180245006400193856012400257300001200381490000600393520079000399022001401189       2020                            d  c01/202010aleprosy10aLucio's phenomenon10aMycobacterium lepromatosis10aulcerations1 aTrave I1 aBarabino G1 aCavalchini A1 aParodi A00aLong-term ulcerations caused by Mycobacterium lepromatosis.  uhttp://www.ijmyco.org/downloadpdf.asp?issn=2212-5531;year=2020;volume=9;issue=2;spage=223;epage=225;aulast=Trave;type=2  a223-2250 v93 a<p>Patients with leprosy rarely present ulcerated lesions that can appear during reactional states like Lucio's phenomenon (LP), as in our case. LP is a rare complication of multibacillary leprosy due to massive bacilli invasion of endothelial cells causing a thrombotic syndrome. The initial macular lesion is purpuric followed by multiple infiltrated papules and nodules, some of them ulcerated, associated to loss of sensation on lower limbs. The importance of recognizing ulcers as a specific cutaneous manifestation of leprosy allows early diagnosis and treatment, and therefore avoiding the development of disabilities and persistence of illness. Infection by Mycobacterium lepromatosis is associated with LP and it should be especially sought in patients from endemic areas.</p>  a2212-554X