title: Erythema nodosum leprosum in a general hospital.
abstract: We report 32 patients with erythema nodosum leprosum (ENL). Twenty-two patients developed ENL before beginning chemotherapy. The recognition that ENL in the absence of chemotherapy is not an uncommon event is of importance, not simply as a fact in and of itself, but because this observation raises provocative questions when placed in the context of current ideas concerning ENL. ENL should be regarded as a manifestation of leprosy, not necessarily as a complication of its therapy.
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D004893:Erythema Nodosum / Q000175:diagnosis / Q000209:etiology* / Q000276:immunology / Q000473:pathology; D005260:Female; D006801:Humans; D007918:Leprosy / Q000145:classification / Q000150:complications* / Q000188:drug therapy; D008297:Male; D008875:Middle Aged; D013450:Sulfones / Q000009:adverse effects* / Q000627:therapeutic use
chemical_list: D013450:Sulfones