Leprosy Mailing List – February 28, 2014
Ref.: (LML) Leprosy patient with foot ulcer
From: Wim Theuvenet, Apeldoorn, the Netherlands
Dear Salvatore,
Thank you for the Bangladesh case study of January 27, 2014 (clinical leprosy, case report, BL-LL leprosy in ENL reaction) and of the same patient the presentation of February 27 (leprosy patient with foot ulcer)
It is puzzling why the ulcer re-occurs at this side. Some questions:
1. have you checked the footwear that he used after discharge, perhaps ill fitting at the side 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?
3. there seems to be a rather dry skin with hyperkeratosis? Has he soaked, scraped and oiled?
4. what is his residency status, any gain from being admitted?
Warm regards,
Willem Theuvenet
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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