00978nas a2200217   4500000000100000008004100001260001000042653001700052653001600069653002000085653002400105100001800129700001400147700001400161245002600175856005200201300001200253490000700265520047400272022001400746       2023                            d  bLepra10aENL reaction10aThalidomide10asteroid therapy10aanti-reaction drugs1 aRuth Butlin C1 aDarlong J1 aMukhier M00aAccess to thalidomide  uhttps://leprosyreview.org/article/94/3/20-23068  a186-1920 v943 a<p>Erythema Nodosum Leprosum (ENL) reaction is a serious and common complication of multibacillary leprosy. Thalidomide is an effective drug which can be used safely in the treatment of ENL, with due regard to its teratogenic potential. In many leprosy-endemic countries it is still not available to leprologists. In this editorial we discuss hindrance to access to thalidomide, and some considerations as to how to ensure its safe use in leprosy patients. &nbsp;</p>
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