Monday, November 10, 2008

Erythema nodosum leprosum (ENL) reaction

Leprosy Mailing List, November 1st, 2008

Ref.: Erythema nodosum leprosum (ENL) reaction
From: Uwyse S. A., Ampara, Sri Lanka

Dear Noto,

Thanks for your LML service.
When a patient develops ENL reaction after completing the multibacillary (MB) treatment course (12 months according to WHO suggestion), is it necessary to restart MB treatment with oral steroid therapy to treat this condition? Is there any place to treat this condition with chloroquine or cyclophospamide?

Please clarify on this matters as people have various opinions on this issue here. Thank you in advance for your comments.

With best regards,
Dr. S. A. Uwyse
Consultant Dermatologist
General Hospital
Sri Lanka

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