00970nas a2200121   4500000000100000008004100001100001100042245004400053856006900097300001200166490000700178520066300185       2019                            d1 aPark L00aA case of lepromatous leprosy in Oregon  uhttp://www.ijl.org.in/2019/8%20Lily%20Park%20(233-237)%20(3).pdf  a233-2370 v913 aThe cases of leprosy occur rarely in North America and a health care professional may not readily consider a diagnosis of leprosy. We encountered a 23-year-old female with hypopigmented macules and painful nodules along with peripheral neuropathy in Oregon, who had immigrated from Micronesia. A skin biopsy confirmed
the diagnosis of leprosy. Patient developed a type 2 reacti on, Erythema nodosum leprosum, upon initiation of the multidrug therapy. It is vital to recognize the signs and symptoms of leprosy and associated reactions so the patient can be treated appropriately to prevent debilitating and stigmatizing neurocutaneous and
systemic illness.