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
All are features of lepromatous leprosy except: 
Select and explain. 
A. Gynaecomastia, B. Madarosis, C. Saddle nose, D. Perforating Ulcer
D: Perforating Ulcer
Answer: D: Perforating Ulcer 
Explanation: 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.