Type 1 reaction masquerading clinically as ENL: A Case Report | Zendy

Ashish Khodke | Zendy; Vanaja Shetty | Zendy

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Type 1 reaction masquerading clinically as ENL: A Case Report

Author(s) -

Ashish Khodke,

Vanaja Shetty

Publication year - 2015

Publication title -

leprosy review

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.437

H-Index - 43

eISSN - 2162-8807

pISSN - 0305-7518

DOI - 10.47276/lr.86.2.202

Subject(s) - medicine , histopathology , leprosy , lepromatous leprosy , dermatology , histology , thalidomide , pathology , surgery , multiple myeloma

Attention is drawn to a Type 1 reaction masquerading clinically as ENL. Histology showed no evidence of ENL but suggested heightened T-cell activity (CMI), a characteristic feature of Type 1 reaction. We present a case of a 29 year old man diagnosed as lepromatous leprosy with recurrent Type 2 reaction treated with thalidomide for 2 years. The patient was referred to our institute from a teaching hospital. Skin biopsies were carried out during two separate eruptive episodes 2 months apart. Histopathology showed heightened T-cell activity, but no evidence of ENL.

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