Ulcerated lesions on upper and lower limbs of 5 years of evolution

Abstract

A 49-year-old male patient from the province of Tucumán reported a history of multiple hospitalizations, with voluntary discharge each time, due to painful ulcerated lesions on his elbows and legs that had been present for 5 years and were associated with abdominal pain and fatigue. Physical examination revealed pale skin and mucous membranes, thinning skin, absence of eyelashes and eyebrows, bilateral cataracts, and a saddle nose. On his elbows and legs, he presented ulcers of varying sizes that were exudative, malodorous, and some were bleeding, with abundant fibrin and scant granulation tissue.