title: A case of erythema nodosum leprosum reaction with diffuse alveolar haemorrhage, successfully treated by pulsed methylprednisolone.
abstract: ary We present a case of erythema nodosum leprosum (ENL) reaction with dse alveolar haemorrhage (DAH) in a patient who completely recovered with pulsed methylprednisolone. Our case illustrates that ENL could be a predisposing factor for DAH and a high dose of corticosteroid plays an important role in successfully treating such a patient.
authors.affiliation: Department of Medicine, Hat Yai Medical Education Center, Hat Yai Hospital, Songkhla, Thailand. naronak@hotmail.com
authors.forename: Narongwit
authors.initials: N
authors.lastname: Nakwan
authors.forename: Sunisa
authors.initials: S
authors.lastname: Thaichinda
authors.forename: Narongsak
authors.initials: N
authors.lastname: Nakwan
mesh_terms: D000293:Adolescent; D001706:Biopsy; D004893:Erythema Nodosum / Q000150:complications* / Q000188:drug therapy / Q000473:pathology; D005938:Glucocorticoids / Q000008:administration & dosage*; D006469:Hemoptysis / Q000209:etiology*; D006470:Hemorrhage / Q000150:complications* / Q000188:drug therapy; D006801:Humans; D007917:Leprostatic Agents / Q000627:therapeutic use; D015440:Leprosy, Lepromatous / Q000150:complications* / Q000188:drug therapy / Q000473:pathology; D008297:Male; D008775:Methylprednisolone / Q000008:administration & dosage*; D011650:Pulmonary Alveoli / Q000473:pathology*
chemical_list: D005938:Glucocorticoids; D007917:Leprostatic Agents; D008775:Methylprednisolone