00988nas a2200169   4500000000100000008004100001260001200042653003000054653003000084653002000114653002900134100001000163245009800173300002000271520051300291022001400804       2023                            d  c07/202310aErythema Nodosum Leprosum10aconnective tissue disease10aHistoid leprosy10asystemic corticosteroids1 aPal D00aHistoid leprosy complicated by erythema nodosum leprosum mimicking connective tissue disease.  a4947552311859873 a<p>Erythema nodosum leprosum (ENL) is an immunological complication of leprosy seen in 50% of lepromatous and 10% of borderline lepromatous leprosy. It usually presents as a multisystem disease with papulo-nodular skin lesions and fever. Arthralgia or arthritis is a common initial presentation of erythema nodosum leprosum. Pure rheumatologic presentation of lepromatous leprosy complicated by erythema nodosum leprosum is extremely rare, mimics connective tissue disease and is treated with steroids.</p>
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