The presentation of erythema nodosum leprosum lesions in an annular pattern is rare.Herein, we report a case of lepromatous leprosy (LL) in a farmer who presented with erythema nodosum leprosum lesions arranged in an annular pattern.A 45‐year‐old farmer presented with painful nodules on the face and back of 1‐week duration, associated with fever, joint pains, and malaise. He had been diagnosed with LL and completed World Health Organization multibacillary, multidrug therapy the previous year. There was a history of similar nodules three months prior to his diagnosis of LL for which he was managed with a short course of systemic steroids. Family history for leprosy was negative. Examination revealed multiple faintly erythematous nodules distributed on the face, back of the trunk, and legs; nodules were tender and soft to firm in consistency. The nodules on the face and back of the trunk were distributed in an annular pattern bilaterally (Fig. ). Glove and stocking anesthesia was evident. Both greater auricular nerves, left ulnar, right lateral popliteal, and left posterior tibial nerve were thickened and nontender. He was diagnosed as lepromatous leprosy with type 2 reaction. All the hematological and biochemical investigations were unremarkable. Venereal disease research laboratory (VDRL) test
International Journal of Dermatology – Wiley
Published: Jan 1, 2018
It’s your single place to instantly
discover and read the research
that matters to you.
Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.
All for just $49/month
Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly
Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.
Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.
Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.
All the latest content is available, no embargo periods.
“Hi guys, I cannot tell you how much I love this resource. Incredible. I really believe you've hit the nail on the head with this site in regards to solving the research-purchase issue.”Daniel C.
“Whoa! It’s like Spotify but for academic articles.”@Phil_Robichaud
“I must say, @deepdyve is a fabulous solution to the independent researcher's problem of #access to #information.”@deepthiw
“My last article couldn't be possible without the platform @deepdyve that makes journal papers cheaper.”@JoseServera