A 21-year old male presented with extensive papulonodular lesions and non-healing ulcers on his lower limbs. Observation Foul and non-healing ulcers on his legs and under his right sole Recurrent hemorrhagic rhinitis History The patient reported that the problem started nine years ago as a single papulonodular lesion on his right thigh. The ulcers progressively spread to his arms, legs, back and neck, over a period of five years. The patient was prescribed ciprofloxacin 1 gm/day with prednisolone 10 mg/week.
The treatment caused moderate but fluctuating improvement in the condition, followed by self-medication with eosin and betamethasone ointment. Examination No fever Hemodynamic parameters normal Multiple infiltrated erythematous papulonodular lesions, painless Multiple enlarged lymph nodes Hypoesthesia on the outside edge of his left sole Cardiopulmonary auscultation was normal. Lab…
