Case contributed by Rodney Strahan
Diagnosis almost certain


Known leprosy patient presents with foot ulceration.

Patient Data

Age: 30 years
Gender: Male

Loss of toes and distal soft tissues with eroded metatarsals typical of peripheral neuropathy and demonstrating the 'licked candy stick' appearance.

Case Discussion

The term licked candy stick appearance refers to tapering of the tips of the metacarpal bones, metatarsal bones, phalanges or clavicles and is usually associated with:

This is a case of leprosy.

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