S. Chiheb
Dermatology and Venereology Department, CHU Ibn Rochd, Morocco
Publications
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Case Report
Extensive Necrotic Ulcerations with Leonine Facies Revealing Lucio-Type Lepromatous Leprosy
Author(s): M. Hammouch*, F. Hali and S. Chiheb
Background: Lucio’s phenomenon is a rare and severe vasculonecrotic complication of diffuse lepromatous leprosy, characterized by extensive necrotic skin lesions due to massive endothelial bacillary proliferation. It typically occurs in untreated or inadequately treated patients. Case Presentation: We report the case of a 52-year-old male presenting with chronic, diffuse necrotic skin ulcers, a leonine facies, and peripheral neuropathy. History revealed macular hypopigmented lesions dating back 20 years. Skin smears showed a high bacillary index (5+). A diagnosis of Lucio’s phenomenon revealing advanced lepromatous leprosy was established. The patient was treated with WHO-recommended multibacillary multidrug therapy, resulting in significant clinical improvement. Conclusion: Lucio’s phenomenon rep.. Read More»
