María Lorena Re Domínguez

Perianal herpetic ulcers in immunosuppressed patients. Report of two cases

Genital herpes is the most common cause of ulcers in sexually transmitted diseases (STDs). It is presented as a single or multiple, painful injury, accompanied by bilateral, also painful, lymphadenopathy. In immunocompromised patients, such as those affected by HIV, Herpes Simplex Virus (HSV) infections have a variety of clinical manifestations; they may be located, scattered or atypical. In addition, lesions may be more extensive and persistent than HIV-negative patients. We present two cases of immunocompromised patients with perianal herpetic ulcers, one HIV carrier, and the other with leukopenia caused by visceral Leishmaniasis.

Reactive erythema multiforme as atypical manifestation of leprosy. Case report

The clinical course of leprosy is often interrupted by reactions, which are acute inflammatory episodes that can be classified as type I or type II. Type II reactions may occur as skin lesions resembling erythema multiforme (EM), which conventionally has been associated mainly with existing drug allergies or viral infections. However, differential diagnostic criteria of the different causal agents of multiform erythema remain controversial. We present an unusual case of a male patient whose first manifestation of leprosy has been a type II reaction, multiform erythema support.