Generally
1. lesion macular indicates initial phase of the disease, 
2. bounded lesion points of lesions tuberculoide, 
3. diffuse lesion is indicative of lesion virchowiana, 
4. bounded lesion and diffuse it characterizes lesion dsmorfic, 
5. coloration ferruginosa indicates the aspect virchowiana or dimorfo-virchowiana. 

The treatment clinical classic of the pathology should be made. 

The cutaneous lesions can present secondary complications, as local infection. 

F.S., 46 years, male. Leprosy virchowiana, with chronic ulceration to 12 years in external maléolo of the left leg. Dimension 13x5 cm. The bed of the lesion possessed aspect fibrinoso (Photo 1).

Treated ointment enzymatic collagenase for 7 days and successively with silver sulfadiazina
and cerio nitrate for other week. It developed with reduction of the lesion and discreet formation of the granulation tissue (Photo 2). 

Treated by Ivo Kilinsky, MD, Plastic Surgeon from Orthopedic and Traumatologic Center de Sorocaba, Sorocaba (SP) - Brazil.

It Consults the Feridologo's
Book!!! NEW APROACH IN THE TREATMENT OF WOUNDS 
Luiz Claudio Candido, MD. Publishing SENAC-SP,
São Paulo-Brazil, 2001.

*Bibliographycal Reference:
CANDIDO LC: Nova abordagem no tratamento de feridas. São Paulo: Editora SENAC-SP, 2001.

Photo 1
Click in the picture to enlarge it. 

Chronic ulceration
(maleolo external left leg).
To notice necrotic aspect and fibrinous slough. 

Photo 2

To notice improvement
of the aspect
of the bed's wound.

 

SEE TOO ANOTHER DERMATOLOGIC LESION

Leishmaniasis
Factitious
Tuberculosis Cutanea
Zooparasite
Radiodermatitis
Chemotherapy
Connective Tissue
Vesicular-Bubble
Infect-contagious
Hematologic