TY - JOUR
AU - Pradhan S
AU - Rout A
AU - Sirka C
AU - Sahu K
AU - Dash G
AB - Bullous erythema nodosum leprosum (Bullous ENL) is the severe form of Type 2 lepra reaction. There are only a handful of reports of bullous ENL cases in English literature. We hereby report five cases of lepromatous leprosy with bullous erythema nodosum leprosum, of whom cases 1, 3, 4 and 5 had bullous ENL at initial
presentation, while case 2 developed bullous lesions during the fourth episode of ENL. The diagnosis was based on clinical features and histopathology. All cases had
a bacillary index more than 4þ. None of the patients had a history of previous antileprosy treatment. A history of contact with another person with leprosy was present
in two cases. All five cases were successfully treated with multidrug therapy, oral steroids and thalidomide. This case series on bullous ENL emphasises that a high
bacillary index and delay in diagnosis and treatment can lead to the more severe form of bullous Type 2 lepra reaction. 
BT - Leprosy review
IS - 4
LA - eng
N2 - Bullous erythema nodosum leprosum (Bullous ENL) is the severe form of Type 2 lepra reaction. There are only a handful of reports of bullous ENL cases in English literature. We hereby report five cases of lepromatous leprosy with bullous erythema nodosum leprosum, of whom cases 1, 3, 4 and 5 had bullous ENL at initial
presentation, while case 2 developed bullous lesions during the fourth episode of ENL. The diagnosis was based on clinical features and histopathology. All cases had
a bacillary index more than 4þ. None of the patients had a history of previous antileprosy treatment. A history of contact with another person with leprosy was present
in two cases. All five cases were successfully treated with multidrug therapy, oral steroids and thalidomide. This case series on bullous ENL emphasises that a high
bacillary index and delay in diagnosis and treatment can lead to the more severe form of bullous Type 2 lepra reaction. 
PY - 2019
EP - 469– 475
T2 - Leprosy review
TI - Bullous erythema nodosum leprosum: a rare case series
UR - https://leprosyreview.org/article/90/4/19-0075
VL - 90
ER -