Erythema necroticans: a rare reaction pattern in leprosy

Authors

  • K S Dhillon Department of Dermatology, Era’s Lucknow Medical College, Lucknow, India
  • Deepak Sharma Department of Dermatology, Era’s Lucknow Medical College, Lucknow, India
  • Tarunveer Singh Department of Dermatology, Era’s Lucknow Medical College, Lucknow, India
  • Nishi Tandon Department of Pathology, Era’s Lucknow Medical College, Lucknow, India
  • Gaurav Sarin Department of Dermatology, Era’s Lucknow Medical College, Lucknow, India
  • Areeba Khan Department of Dermatology, Era’s Lucknow Medical College, Lucknow, India
  • Soni Yadav Department of Dermatology, Era’s Lucknow Medical College, Lucknow, India
  • Sweksha Srivastava Department of Dermatology, Era’s Lucknow Medical College, Lucknow, India

Keywords:

Erythema Nodosum Leprosum, Erythema Necroticans, Lucio Phenomenon

Abstract

Leprosy reactions are rare expression of immunological perturbations that interrupt the usual chronic course and the clinical stability of patients with leprosy. They generally occur during anti-mycobacterial treatment and are characterized by the appearance of crops of brightly erythematous tender nodules or plaques. Erythema Necroticans (ENe) is an uncommon manifestation of Type 2 Erythema Nodosum Leprosum (ENL) reaction, encountered in lepromatous and borderline lepromatous cases of leprosy. Severe ENL can become vesicular or bullous and break-down and is termed Erythema Necroticans.

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Published

2017-02-09

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Case Reports