01320nas a2200289   4500000000100000008004100001653002100042653001200063653001000075653003000085653002500115100001300140700001300153700001200166700001300178700001200191700001100203700001200214700001700226245006100243856007400304300000800378490000600386050001700392520060700409022001401016       2015                            d10aLucio Phenomenon10aleprosy10aIndia10aErythema Nodosum Leprosum10aErythema Necroticans1 aDhillon 1 aSharma D1 aSingh T1 aTandon N1 aSarin G1 aKhan A1 aYadav S1 aSrivastava S00aErythema necroticans: a rare reaction pattern in leprosy  uhttp://www.ejmanager.com/mnstemps/122/122-1423277531.pdf?t=1433420869  a1850 v2  aDHILLON 20153 a<p>Leprosy reactions are rare expression of immunological perturbations that interrupt the usual chronic course and the clinical stability of patients with leprosy. They generally occur during anti-mycobacterial treatment and are characterized by the appearance of crops of brightly erythematous tender nodules or plaques. Erythema Necroticans (ENe) is an uncommon manifestation of Type 2 Erythema Nodosum Leprosum (ENL) reaction, encountered in lepromatous and borderline lepromatous cases of leprosy. Severe ENL can become vesicular or bullous and break-down and is termed Erythema Necroticans.</p>
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