01265nas a2200265   4500000000100000008004100001260001700042653001000059653002100069653002000090653001100110653002500121653000900146653001300155653001700168100001300185700001200198700001200210245004000222300001100262490000700273050003200280520067300312022001400985       2005                            d  c2005 Apr-Jun10aAdult10aErythema Nodosum10aGlucocorticoids10aHumans10aLeprosy, lepromatous10aMale10aNecrosis10aPrednisolone1 aBarman D1 aGupta U1 aSaify K00aNecrotic erythema nodosum leprosum.  a169-720 v77  aInfolep Library - available3 a<p>A 30 year-old farmer presented himself with mild degree fever, joint pain and multiple ulcers of 15 days' duration. Ulcers were multiple, well-defined, irregular in shape with necrotic base and elevated, sloppy margins over anus, forearms, wrists, buttocks, lower half of thighs and shins. A few of the ulcers were covered with black-coloured scab. They were tender and with serosanguinous discharge. Black atrophic scars and ill-defined, irregular, brown black-pigmented macules of various sizes were present over thighs and legs. Excision biopsy of the ulcer showed features of erythema nodosum leprosum. The patient was treated with systemic corticosteroids.</p>  a0254-9395