01170nas a2200277   4500000000100000008004100001260001700042653001000059653002800069653002100097653001100118653002300129653001200152653000900164653001300173100001200186700001500198700001300213700001500226245011000241300001100351490000700362050003200369520047700401022001400878       1987                            d  c1987 Apr-Jun10aAdult10aDiagnosis, Differential10aErythema Nodosum10aHumans10aLeprostatic Agents10aleprosy10aMale10aSteroids1 aKar H K1 aSaxena A K1 aJain R K1 aSharma A K00aType 1 (reversal) lepra reaction in borderline leprosy with unusual clinical presentation--a case report.  a219-220 v59  aInfolep Library - available3 a<p>A male 26 years old patient with BB type of leprosy was encountered with a typical clinical presentations of up-grading (reversal) Type 1 Lepra Reaction. These included sudden appearance of tender, erythematous nodular eruptions mimicking ENL, severe constitutional symptoms like high grade fever, malaise, vomiting, epistaxis, joint pain and tenosynovitis simulating Type 2 Lepra Reaction. To the best of our knowledge, this may be the first such case in our hand.</p>  a0254-9395