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Localised erythema nodosum leprosum-A rare entity managed with thalidomide
Chandni Patel1, Barbara De Barros2,3, Stephen L Walker2,3,4
1Department of Healthcare Services for Elderly People Royal Free Hospital NHS Foundation Trust London UK.
Abstract:
Leprosy is caused by Mycobacterium leprae. The condition primarily affects the skin and peripheral nerves. There are two types of leprosy reactions, Type 1 and Type 2 or erythema nodosum leprosum (ENL). ENL is a severe multi-system, immune-mediated complication of lepromatous leprosy. It is characterised by widespread painful cutaneous nodules, fever and peripheral oedema. This report discusses the unusual case of a 29-year-old woman who developed a localised form of ENL which required thalidomide to induce remission.
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