Hansen disease

Presenting an interesting case of 70 years old non-diabetic presented with Figure 1 is 2 years ago. Figures 2-4 present today’s images with X-ray of foot (Figure 5). What will be your clinical diagnosis or DD? Thank you.

chronic wound were present bilateral foot on the fore foot both side,in the 65 years aged women .The wound were there for more than two years. Left foot ulcer acutely exacerbates in to abscess sole with multiple sinuses X Ray left foot metatarsals were normal and phalanx in the all toes were missing due to chronic injury related infections and further healing was reported . Insensitive foot bilaterally present for all modalities of sensation . Discuss differential diagnosis and managements.

A 36-year-old woman was presented with edema and paresthesia on the lower limbs...Suggest the treatment?

15 yrs old child presented with such presentation ....

1.Folliular prominence of tongue papillae.in Scarlet fever and Kawasaki Disease.2.Palmar skin desqmation in Kawasaki Disease.3.4.Cutaneous nodules and plaques .. Secondary metastases of Thyroid carcinoma. DD.Lepromatous Leprosy. ,. Neurofibromatosis.ect: 5.Discrete prominent erythamatous painful paupulopustular of Grade 3 Acne Vulgaris.6.7.Botriomycosis Nodules DD; Mycetoma nodules.. courtesy..IADVL.. journal for Awarenes of all discipline specialists.