00903nas a2200241   4500000000100000008004100001260001300042653001000055653001100065653002100076653001100097653001200108653000900120653000900129100001200138700001700150700001700167245010500184300001100289490000700300520034000307022001400647       1988                            d  c1988 Sep10aAdult10aBiopsy10aErythema Nodosum10aHumans10aleprosy10aMale10aSkin1 aJob C K1 aJacobson R R1 aHastings R C00aSimultaneous upgrading reaction and erythema nodosum leprosum in a patient with lepromatous leprosy.  a437-420 v563 a<p>A case of lepromatous leprosy with erythema nodosum leprosum (ENL) undergoing treatment with dapsone, rifampin, and thalidomide developed focal tuberculoid granulomas in the ENL lesions. This is the first report known to the authors of a lepromatous leprosy patient in whom ENL and an upgrading reaction occurred simultaneously.</p>  a0148-916X