{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T05:16:49Z","timestamp":1788153409050,"version":"build-2803163510"},"reference-count":5,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,30]],"date-time":"2026-08-30T00:00:00Z","timestamp":1788048000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,30]],"date-time":"2026-08-30T00:00:00Z","timestamp":1788048000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Dermatology"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    A 53\u2010year\u2010old man from northeast Mexico presented with acute painful violaceous plaques, hemorrhagic bullae and stellate necrotic eschars on the lower limbs, dorsal hands and external ears. Examination also revealed diffuse non\u2010nodular cutaneous infiltration, madarosis and milphosis, and generalized hypoesthesia\u2014subtle signs of underlying diffuse lepromatous leprosy. IgG anticardiolipin antibodies were positive, raising the possibility of antiphospholipid syndrome. Skin biopsy with Fite\u2010Faraco staining showed endothelial colonization by acid\u2010fast bacilli and polymerase chain reaction (PCR) confirmed\n                    <jats:styled-content style=\"fixed-case\">\n                      <jats:italic>Mycobacterium leprae<\/jats:italic>\n                    <\/jats:styled-content>\n                    , establishing the diagnosis of Lucio's phenomenon\u2014a rare necrotizing vasculopathy occurring in untreated diffuse lepromatous leprosy. This case illustrates how positive serological mimickers can mislead the workup away from a mycobacterial cause and underscores the need for prompt initiation of multibacillary multidrug once the diagnosis is confirmed.\n                  <\/jats:p>","DOI":"10.1111\/ijd.70622","type":"journal-article","created":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T04:24:49Z","timestamp":1788150289000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Acute Necrotic Violaceous Plaques and Hemorrhagic Bullae in a 53\u2010Year\u2010Old Man"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5826-4808","authenticated-orcid":false,"given":"Luc\u00eda T.","family":"Fern\u00e1ndez","sequence":"first","affiliation":[{"name":"Department of Dermatology, Hospital Universitario \u201cDr. Jos\u00e9 Eleuterio Gonz\u00e1lez\u201d Universidad Aut\u00f3noma de Nuevo Le\u00f3n  Monterrey Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5872-2423","authenticated-orcid":false,"given":"Giselle","family":"Rodr\u00edguez\u2010Tamez","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Hospital Universitario \u201cDr. Jos\u00e9 Eleuterio Gonz\u00e1lez\u201d Universidad Aut\u00f3noma de Nuevo Le\u00f3n  Monterrey Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-8427-9156","authenticated-orcid":false,"given":"Carolina","family":"Harrsch\u2010De la Garza","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Hospital Universitario \u201cDr. Jos\u00e9 Eleuterio Gonz\u00e1lez\u201d Universidad Aut\u00f3noma de Nuevo Le\u00f3n  Monterrey Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4212-0185","authenticated-orcid":false,"given":"Minerva","family":"G\u00f3mez\u2010Flores","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Hospital Universitario \u201cDr. Jos\u00e9 Eleuterio Gonz\u00e1lez\u201d Universidad Aut\u00f3noma de Nuevo Le\u00f3n  Monterrey Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0213-0031","authenticated-orcid":false,"given":"Jorge","family":"Ocampo\u2010Candiani","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Hospital Universitario \u201cDr. Jos\u00e9 Eleuterio Gonz\u00e1lez\u201d Universidad Aut\u00f3noma de Nuevo Le\u00f3n  Monterrey Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,30]]},"reference":[{"key":"e_1_2_8_2_1","first-page":"421","article-title":"The 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Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ijd.70622","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ijd.70622","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ijd.70622","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T04:24:50Z","timestamp":1788150290000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ijd.70622"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,30]]},"references-count":5,"alternative-id":["10.1111\/ijd.70622"],"URL":"https:\/\/doi.org\/10.1111\/ijd.70622","archive":["Portico"],"relation":{},"ISSN":["0011-9059","1365-4632"],"issn-type":[{"value":"0011-9059","type":"print"},{"value":"1365-4632","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,30]]},"assertion":[{"value":"2026-05-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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