01188nas a2200289 4500000000100000008004100001260001300042653001000055653001600065653002100081653001400102653001100116653002500127653002300152653000900175653001700184100001800201700001000219700001300229700001400242245007400256300001000330490000700340050003200347520050500379022001400884 1988 d c1988 Oct10aAdult10aClofazimine10aErythema Nodosum10aFerritins10aHumans10aLeprosy, lepromatous10aLeukemoid Reaction10aMale10aPrednisolone1 aChaudhary S D1 aSen R1 aJain V K1 aDixit V B00aLeukemoid reaction in erythema nodosum leprosum in a leprosy patient. a572-60 v60 aInfolep Library - available3 a

A case of lepromatous leprosy with erythema nodosum leprosum (ENL) presenting as a myeloid leukemoid reaction is reported. Very high leucocyte count with immaturity of the cells in myeloid series was present in peripheral blood. High leucocyte alkaline phosphatase score, absence of hepatosplenomegaly and transient nature of leukemoid reaction differentiated it from chronic myeloid leukemia and acute myeloblastic leukemia. The possible mechanisms of leukemoid reaction in ENL are discussed.

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