01463nas a2200241   4500000000100000008004100001260001200042653002800054653001200082653002400094653002800118653002500146100001800171700001400189700001100203700001800214245004800232856008300280300001000363490000700373520082700380022001401207       2019                            d  c01/201910aDermatitis, exfoliative10aleprosy10aLeprosy, borderline10aLeprosy, multibacillary10aMycobacterium leprae1 aBaldissera RL1 aShwetz GA1 aVigo N1 aFillus Neto J00aErythroderma as a manifestation of leprosy.  uhttps://www.sciencedirect.com/science/article/pii/S0365059620302701?via%3Dihub  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>  a1806-4841