title: Erythema nodosum leprosum necroticans in a child--an unusual manifestation.
abstract: Erythema nodosum leprosum necroticans is an uncommon manifestation of type 2 lepra reaction, encountered in lepromatous and borderline lepromatous cases of leprosy. We report an unusual clinical presentation of necrotic erythema nodosum leprosum in a 9-year-old boy with no pre-existing evidence of leprosy. The lesions resolved completely following multi-bacilliary multi-drug therapy for 12 months, non-steroidal anti-inflammatory drugs and corticosteroids.
authors.affiliation: Department of Dermatology and STD, University College of Medical Sciences and Guru, Teg Bahadur Hospital, New Delhi 110095, India.
authors.forename: Deepika
authors.initials: D
authors.lastname: Pandhi
authors.forename: Shilpa
authors.initials: S
authors.lastname: Mehta
authors.forename: Subhav
authors.initials: S
authors.lastname: Agrawal
authors.forename: Archana
authors.initials: A
authors.lastname: Singal
mesh_terms: D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D002648:Child; D004008:Diclofenac / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D004893:Erythema Nodosum / Q000188:drug therapy / Q000473:pathology*; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D007917:Leprostatic Agents / Q000627:therapeutic use; D015440:Leprosy, Lepromatous / Q000188:drug therapy / Q000473:pathology*; D008297:Male; D009336:Necrosis; D011239:Prednisolone / Q000627:therapeutic use
chemical_list: D000894:Anti-Inflammatory Agents, Non-Steroidal; D005938:Glucocorticoids; D007917:Leprostatic Agents; D004008:Diclofenac; D011239:Prednisolone