Erythema nodosum leprosum

Pooja Dhaon
DOI: 10.15305/ijrci/v4i1/171


Erythema nodosum leprosum (ENL) is a type 2 reaction, which is a humoral response to Mycobacterium Leprae infection. The fig. 1 and 2 depict the presentation of a 30-year-old with arthritis of large joints and dactylitis. Since 2 years, he had progressive nodular ulcerative lesions over trunks, thighs and upper-extremities (Fig. 3, 4, 5 and 6), and madarosis and nodular lesions on both the ear lobes (Fig. 7 and 8). Further evaluation of skin biopsy and histopathological examination confirmed the diagnosis of lepromatous leprosy with type 2 reaction.