01190nas a2200217   4500000000100000008004100001653002000042653001000062653001200072653001000084653001000094100001700104700001200121700001300133700001400146245010800160856005100268300001000319490000700329520063600336       2014                            d10aType 2 reaction10aLiver10aleprosy10aIndia10aChild1 aMendiratta V1 aMalik M1 aGurtoo A1 aChander R00aFulminant hepatic failure in a 15 year old boy with borderline lepromatous leprosy and Type 2 reaction.  uhttps://leprosyreview.org/article/85/1/00-1766  a54-570 v853 a<p>The liver is the most frequently affected visceral organ in leprosy, particularly in the multibacillary group. Administration of hepatotoxic drugs may also affect liver function. We report the case of a male patient, diagnosed as borderline lepromatous leprosy with Type 2 reaction, who was managed with multibacillary multidrug therapy and steroids, and who then developed acute hepatitis and succumbed to sudden cardiac death. Although erythema nodosum leprosum has been described as a rare cause of death in the literature, such an occurrence in the present era when leprosy has been eliminated needs a special mention.</p>