Atypical erythema nodosum leprosum as the presenting feature in multibacillary leprosy: a case report

Leprosy can rarely present with erythema nodosum leprosum (ENL). Type 2 reaction or ENL is characterized by brightly red, raised, evanescent, tender nodules, and plaques of varying sizes. Extracutaneous manifestations include fever, neuritis, arthritis, epididymo-orchitis, iridocyclitis, epistaxis, etc., and rarely, glomerulonephritis. Atypical presentations may occur, though rarely.