01057nas a2200265   4500000000100000008004100001260001300042653001500055653001000070653000900080653002100089653001100110653001100121653001200132653000900144653001600153653001300169100001200182700001400194245005300208300001200261490000800273520049600281022001400777       1975                            d  c1975 Dec10aAdolescent10aAdult10aAged10aErythema Nodosum10aFemale10aHumans10aleprosy10aMale10aMiddle Aged10aSulfones1 aRea T H1 aLevan N E00aErythema nodosum leprosum in a general hospital.  a1575-800 v1113 a<p>We report 32 patients with erythema nodosum leprosum (ENL). Twenty-two patients developed ENL before beginning chemotherapy. The recognition that ENL in the absence of chemotherapy is not an uncommon event is of importance, not simply as a fact in and of itself, but because this observation raises provocative questions when placed in the context of current ideas concerning ENL. ENL should be regarded as a manifestation of leprosy, not necessarily as a complication of its therapy.</p>  a0003-987X