LEPROSY WITH PSORIASIS A RARE ISOTOPIC PHENOMENON

  • Ishita Raka Department of Dermatology, Venereology and Leprology, Shri Ram Murti Smarak Institute of Medical Sciences, Bareilly, Uttar Pradesh
  • Pratik Gahalaut Department of Dermatology, Venereology and Leprology, Shri Ram Murti Smarak Institute of Medical Sciences, Bareilly, Uttar Pradesh
  • Nitin Mishra Department of Dermatology, Venereology and Leprology, Shri Ram Murti Smarak Institute of Medical Sciences, Bareilly, Uttar Pradesh
  • Madhur K. Rastogi Department of Dermatology, Venereology and Leprology, Shri Ram Murti Smarak Institute of Medical Sciences, Bareilly, Uttar Pradesh

Abstract

Introduction: Isotopic phenomenon refers to the occurrence of a new dermatosis at the site of previously healed dermatosis. A number of factors including viral, neural, vascular, and immunologic factors have been implicated in the causation of this peculiar phenomenon but none has been proven conclusively. We report a case where leprosy developed at the site of psoriatic lesion previously treated with medical therapy. Case Report: A 50 years old male presented with chief complaints of erythematous, mildly itchy scaly lesions all over the body with a history of relapses and remissions for last 20 years. After confirming the diagnosis of psoriasis with leprosy, patient was managed as an inpatient with oral hypoglycemic drugs along with multibacillary multi drug therapy. For psoriasis, patient was prescribed topical corticosteroids along with emollients over thick scaly lesions. Conclusion: This case has been reported due to the rarity of Wolf's isotopic phenomenon and the coexistence of psoriasis with leprosy. The existing sporadic cases in literature which question the mutually exclusive relationship of leprosy and psoriasis needs further evaluation.

Keywords: Isotopic phenomenon, psoriasis, leprosy.

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Author Biography

Pratik Gahalaut, Department of Dermatology, Venereology and Leprology, Shri Ram Murti Smarak Institute of Medical Sciences, Bareilly, Uttar Pradesh

1, 2, Nitin Mishra3, Madhur K Rastogi4

Department of Dermatology, Venereology and Leprology, Shri Ram Murti Smarak Institute of Medical Sciences, Bareilly, Uttar Pradesh

Corresponding Author : Pratik Gahalaut; Email: drpratikg@rediffmail.com

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How to Cite
[1]
I. Raka, P. Gahalaut, N. Mishra, and M. Rastogi, “LEPROSY WITH PSORIASIS A RARE ISOTOPIC PHENOMENON”, SRMsJMS, vol. 2, no. 01, pp. 48-51, Jul. 2017.