A fatal case of erythema necroticans

S. V. Davis, S. D. Shenoi, C. Balachandran, S. B. Pai

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Abstract

Erythema nodosum leprosum (ENL) classically presents as tender, erythematous nodules over the face, arms and legs. Severe ENL can become vesicular or bullous and break-down and is termed erythema necroticans (Jopling & McDougall, 1996) and is treated with corticosteroids. The causes of death in a majority of leprosy patients are the same as in the general population, with the exception of renal damage in lepromatous leprosy. There is possible increased mortality from side-effects of anti-leprosy drugs, steroids, or other drugs used in reactions, from toxaemia in severe reactions, and from asphyxia due to glottic oedema (Jopling & McDougall, 1996). We report here a case of erythema necroticans, the cause of death being septicaemia, secondary to skin ulcers and urinary tract infection, precipitated by corticosteroids.

Original languageEnglish
Pages (from-to)145-149
Number of pages5
JournalIndian Journal of Leprosy
Volume74
Issue number2
Publication statusPublished - 01-01-2002

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All Science Journal Classification (ASJC) codes

  • Dermatology

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