01395nas a2200301 4500000000100000008004100001260001300042653001000055653002800065653002100093653001800114653001100132653002300143653002500166653000900191653003500200653001600235100001500251700001900266700001200285700001100297700001600308245007300324300001100397490000800408520066300416022001401079 1998 d c1998 Mar 10 aAdult 10 aDiagnosis, Differential 10 aErythema Nodosum 10 aFrench Guiana 10 aHumans 10 aLeprostatic Agents 10 aLeprosy, lepromatous 10 aMale 10 aSkin Diseases, Vesiculobullous 10 aThalidomide 1 aCouppié P 1 aSainte-Marie D 1 aAbout V 1 aHeid E 1 aPradinaud R 00 a[Bullous erythema nodosum leprosum. A case report in French Guiana]. a188-90 0 v125 3 aBACKGROUND: Polar and borderline lepromatosis leprosy can be complicated by type 2 reactional states, including erythema nodosum leprosum.
CASE REPORT: A 36-year-old man was treated for lepromatous leprosum. He consulted for recurrent erythema nodosum leprosum. Certain nodular lesions were bullous. Histopathology demonstrated major dermal edema causing bullous blisters. Treatment with thalidomide led to rapid regression.
DISCUSSION: The bullous form of erythema nodosum leprosum is rarely described in the literature. It raises the diffential diagnosis with other bullous dermatoses, particularly Sweet's syndrome.
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