00982nas a2200181   4500000000100000008004100001653002700042653001200069653001900081653003600100653002600136100001300162700001000175700001200185245011100197520047800308022001400786       2017                            d10aMultibacillary leprosy10aleprosy10aHistopathology10aErythema nodosum leprosum (ENL)10aAtypical presentation1 aBakshi N1 aRao S1 aBatra R00aBullous Erythema Nodosum Leprosum as the First Manifestation of Multibacillary Leprosy: A Rare Phenomenon.3 a<p>Erythema nodosum leprosum (ENL) may uncommonly present before treatment in patients with multibacillary leprosy. Atypical manifestations are known in ENL and may be clinically misleading. Such wide variations in the clinical presentation of leprosy in reaction make histopathology an important tool for supporting clinical diagnosis. We report bullous ENL presenting as the first manifestation of leprosy in a 30-year-old Indian man diagnosed using histopathology.</p>
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