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
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