01153nas a2200217 4500000000100000008004100001653001400042653001300056653001200069653003600081100001400117700001200131700001100143700001200154245008000166856005100246300001400297490000700311050001700318520060000335 2012 d10aReactions10aLymphoma10aleprosy10aErythema nodosum leprosum (ENL)1 aMahajan R1 aDogra S1 aKaur I1 aYadav S00aType II reaction without erythema nodosum leprosum masquerading as lymphoma uhttps://leprosyreview.org/article/83/4/37-8383 a378–3830 v83 aMAHAJAN 20123 a

Lepromatous leprosy is a multisystem disease that can involve many organ systems, with lymph nodes a common extra-cutaneous site to be affected. Rarely, multibacillary leprosy can be confused with other diseases like lymphomas and connective tissue diseases. Herein we report a patient of lepromatous leprosy with Type II lepra reaction involving lymph nodes who presented with generalised lymphadenopathy, acquired ichthyosis and constitutional symptoms but no cutaneous lesions to suggest erythema nodosum leprosum, and who was initially misdiagnosed as a case of Hodgkin’s lymphoma