1601006055 SHORT CASE


1601006055  SHORT CASE


45 year old male patient, resident of Chityala , daily labourer by occupation


Presented with history of painless lesions - papules with erythema  that started initially over face then extended to upper limb and lower limb ,trunk since 3months.

There is no history of  fever ,pus discharge ,loss of sensation and  lesions on genitalia.

 He is a chronic smoker(1 pack of beedi every 2 days )  and consuming alcohol(90 ml daily ) since 20 years 


He was prescribed  topical cream ,soap and some oral drugs by local medical practitioner which he used for 2months following which few lesions regressed ,but few persisted on nose ,earlobe and on trunk ,hands ,legs .

14 days back patient developed blackish  skin discolouration  over hands and feet with skin peeling ,cracking ,ulcer formation - associated with burning sensation and erythema all over the body.

No new lesions were noted .


No history of similiar complaints in the past and

Not known case of diabetes mellitus,hypertension and asthma.

 

ON EXAMINATION: 

Face - Loss of eye brows and thickened earlobe.


Multiple Papules with erythema over face ,limbs and trunk associated with hypopigmentation on the trunk.



Diagnosis - 

Type 1 lepra reaction .












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