Annular erythema nodosum leprosum reaction in a young male: a rare presentation

Annular erythema nodosum leprosum reaction in a young male: a rare presentation 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 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png International Journal of Dermatology Wiley

Loading next page...
 
/lp/wiley/annular-erythema-nodosum-leprosum-reaction-in-a-young-male-a-rare-7hdKO8mU9V
Publisher
Wiley Subscription Services, Inc., A Wiley Company
Copyright
International Journal of Dermatology © 2018 International Society of Dermatology
ISSN
0011-9059
eISSN
1365-4632
D.O.I.
10.1111/ijd.13927
Publisher site
See Article on Publisher Site

Abstract

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

Journal

International Journal of DermatologyWiley

Published: Jan 1, 2018

References

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 12 million articles from more than
10,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Unlimited reading

Read as many articles as you need. Full articles with original layout, charts and figures. Read online, from anywhere.

Stay up to date

Keep up with your field with Personalized Recommendations and Follow Journals to get automatic updates.

Organize your research

It’s easy to organize your research with our built-in tools.

Your journals are on DeepDyve

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.

See the journals in your area

Monthly Plan

  • Read unlimited articles
  • Personalized recommendations
  • No expiration
  • Print 20 pages per month
  • 20% off on PDF purchases
  • Organize your research
  • Get updates on your journals and topic searches

$49/month

Start Free Trial

14-day Free Trial

Best Deal — 39% off

Annual Plan

  • All the features of the Professional Plan, but for 39% off!
  • Billed annually
  • No expiration
  • For the normal price of 10 articles elsewhere, you get one full year of unlimited access to articles.

$588

$360/year

billed annually
Start Free Trial

14-day Free Trial