Shanthi Kumari B1, D. S. Somasekar2, Rama Mishra3, Mahesh Reddy4
A 50 years old male patient presented with fever, cough and dyspnea of 45 days duration and skin lesions of 20 days duration which he related to the local application of dettol after shaving. Examination revealed anemia, left basal pneumonitis and non pruritic, non tender, reddish purple nodular lesions over the face, behind the ear, chest and lower back (picture). There was no involvement of oral cavity or mucocutaneous junction. Peripheral nerves not thickened and there were no hypo-pigmented patches in the skin or organomegaly. Investigation revealed microcytic anemia, no abnormal cells in the peripheral smear. X ray showed left basal pneumonitis. Patient was treated with antibiotics and blood transfusion.
