![Click here to see the picture 41-A1](figuras/41-0001p.jpg) Fig.41-A1 Lepromatous Lepra
A 74 -years old farmer from the Venezuelan Andes is living in a small village located at 3000 m of altitude. The patient had several skin nodules in his face and on the planta of his right hallux which had started to grow two years ago. There was a marked lack of sensibility of these lesions.
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![Click here to see the picture 41-B1](figuras/41-0005p.jpg) Fig.41-B1 Dermatoyositis
A 27-years old patient from the State Portuguesa of Venezuela is presenting a swelling of his face and slightly elevated spots on both cheeks. In addition the patient had fever since 6 weeks, accompanied by myalgias in all members, articulations and the skeletal musculature.
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![Click here to see the picture 41-A2](figuras/41-0002p.jpg) Fig.41-A2 Lepromatous Lepra
The nodule of the right halluz, mentioned in the fig. 41-A1, had a diameter of 3 cm. and presented ulceration.
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![Click here to see the picture 41-B2](figuras/41-0006p.jpg) Fig.41-B2 Dermatomyositis
A biopsy of the skeletal musculature shows a non specific inflammation, necroses and hyalinosis of the muscle fibers. HE stain; 400 x.
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