Leprosy Mailing List – March 9, 2014
Ref.: (LML) Leprosy patient with foot ulcer
From: Salvatore Noto, Bergamo, Italy
Dear Pieter,
Thank you very much for the comments by Wim Theuvenet, LML February 28, 2014. Since last summer I have not seen the patient anymore. Herewith my answers.
1. Have you checked the footwear that he used after discharge, perhaps ill fitting at the side of the ulcer?
The patient's shoes, that I saw, did not appear to be the cause of the ulcer.
2. Can there be a corpus alienum / exostosis/ bursitis in the deep that is playing up again? Ultrasound and X-ray done?
This investigations were not made at the time of the first ulcer. Later on, when the ulcer relapsed other colleagues took care of the patient. I lost contact with him.
3. There seems to be a rather dry skin with hyperkeratosis? Has he soaked, scraped and oiled?
This advice was given.
4. What is his residency status, any gain from being admitted ?
He had no job, income and, immigration documents. A very difficult socio-economic position. His admission to hospital was due to its recurrent reactional state.
Yours sincerely,
Salvatore
LML - S Deepak, B Naafs, S Noto and P Schreuder
LML blog link: http://leprosymailinglist.blogspot.it/
Contact: Dr Pieter Schreuder << editorlml@gmail.com
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