This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Skin
[{'content': 'All are features of lepromatous leprosy except: \nSelect and explain. \nA. Gynaecomastia, B. Madarosis, C. Saddle nose, D. Perforating Ulcer', 'role': 'user'}, {'content': 'Answer: D \nExplanation: D i.e. Perforating Ulcer Leprosy and acquired syphilis are not vesico-bullous disordersQ (i.e. there is no vesicle and bullae formation, which can be seen in congenital syphilis). Neuropathic / Trophic /Perforating / Plantar - ulcer is a frequent complication (not clinical feature) of lepromatous leprosyQ because sensory impaiment appears before motor weakness and patient continues to miisuse his feet and hands.', 'role': 'assistant'}]