Document Detail


Annular vesiculobullous eruptions in type 2 reaction in borderline lepromatous leprosy: a case report.
MedLine Citation:
PMID:  20704077     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
An untreated case of BL presented with clinical features of type 2 reaction (T2R) confirmed by histopathology. The case was a 18-year-old female with borderline lepromatous leprosy who developed annular vesiculobullous eruptions oversome of the pre-existing plaques on arms and upper back along with fever and severe neuritis after a short course of ofloxacin intake prescribed for urinary tract infection. In addition to the above lesions, some of the existing lesions showed acute exacerbation characterized by erythema, oedema, tenderness and vesiculobullous eruption. This can be considered as an example of leprous exacerbation as described in older literature. T2Rs are common in lepromatous leprosy and not so uncommonly are observed in borderline lepromatous leprosy. The vesiculobullous and crusted lesions developing over the existing borderline plaques, some of them presenting in an annular pattern in T2R in the form of leprous exacerbation, have been reported rarely in the literature.
Authors:
H K Kar; A Raina; P K Sharma; M Bhardwaj
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Indian journal of leprosy     Volume:  81     ISSN:  0254-9395     ISO Abbreviation:  Indian J Lepr     Publication Date:    2009 Oct-Dec
Date Detail:
Created Date:  2010-08-13     Completed Date:  2010-09-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8409173     Medline TA:  Indian J Lepr     Country:  India    
Other Details:
Languages:  eng     Pagination:  205-8     Citation Subset:  IM    
Affiliation:
Department of Dermatology, PGIMER and Dr Ram Manohar Lohia Hospital, New Delhi-110001, India.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Clofazimine / administration & dosage
Dose-Response Relationship, Drug
Drug Therapy, Combination
Erythema Nodosum / drug therapy,  pathology*
Female
Glucocorticoids / administration & dosage
Humans
Leprostatic Agents / administration & dosage
Leprosy, Borderline / complications,  drug therapy,  pathology*
Leprosy, Lepromatous / drug therapy,  pathology*
Prednisolone / administration & dosage
Recurrence
Skin / pathology
Skin Diseases, Vesiculobullous / complications,  drug therapy,  pathology*
Treatment Outcome
Chemical
Reg. No./Substance:
0/Glucocorticoids; 0/Leprostatic Agents; 2030-63-9/Clofazimine; 50-24-8/Prednisolone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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