Type 1 reaction masquerading clinically as ENL: A Case Report.
Attention is drawn to a Type 1 reaction masquerading clinically as ENL. Histology showed no evidence of ENL but suggested heightened T-cell activity (CMI), a characteristic feature of Type 1 reaction. We present a case of a 29 year old man diagnosed as lepromatous leprosy with recurrent Type 2 reaction treated with thalidomide for 2 years. The patient was referred to our institute from a teaching hospital. Skin biopsies were carried out during two separate eruptive episodes 2 months apart. Histopathology showed heightened T-cell activity, but no evidence of ENL.
Ashish
A
Khodke
Vanaja P
VP
Shetty
D000328:Adult; D004893:Erythema Nodosum / Q000175:diagnosis*; D006801:Humans; D007917:Leprostatic Agents / Q000627:therapeutic use; D015440:Leprosy, Lepromatous / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D008297:Male; D013792:Thalidomide / Q000627:therapeutic use
D007917:Leprostatic Agents; D013792:Thalidomide