01304nas a2200229 4500000000100000008004100001653001800042653002500060653001200085653001300097653003200110100001500142700001200157700001400169700001500183700001200198245005700210856007000267300000800337490000700345520072200352 2016 d10aSecondary APS10aLeprous exacerbation10aleprosy10aAtypical10aAnnular vesiculobullous ENL1 aVineetha M1 aSeena P1 aSobhana K1 aCeline M I1 aLetha V00aAtypical Manifestations of Leprosy – A Case Series uhttp://www.ijl.org.in/2015/1%20M%20Vineetha%20et%20al%20(1-6).pdf a1-60 v883 a

Atypical manifestations are not rare in leprosy and they may present diagnostic challenges. We report a series of five cases having atypical presentations. First case presented with an asymptomatic buccal lesion and later developed skin lesions. Second patient had secondary Anti-phosphospholipidsyndrome (APS) due to leprosy. We also report another interesting case of annular vesiculobullous lesions and erythema nodosumleprosum (ENL) following intake of antibiotics for pneumonia. Other two had exacerbation reactions (ER). Two of these patients were had irregular/incompleteanti-leprosy treatment earlier. These profiles will be of interest to clinicians who may encounter cases with such manifestations.