Bakshi Neha, Rao Seema, Batra Rohit
Departments of *Histopathology, and †Dermatology, Sir Ganga Ram Hospital, Rajender Nagar, New Delhi, India.
Am J Dermatopathol. 2017 Nov;39(11):857-859. doi: 10.1097/DAD.0000000000000887.
Erythema nodosum leprosum (ENL) may uncommonly present before treatment in patients with multibacillary leprosy. Atypical manifestations are known in ENL and may be clinically misleading. Such wide variations in the clinical presentation of leprosy in reaction make histopathology an important tool for supporting clinical diagnosis. We report bullous ENL presenting as the first manifestation of leprosy in a 30-year-old Indian man diagnosed using histopathology.
麻风结节性红斑（ENL）在多菌型麻风患者治疗前较少见。ENL存在非典型表现，可能在临床上造成误导。麻风反应的临床表现差异很大，因此组织病理学成为辅助临床诊断的重要工具。我们报告了一名30岁印度男性，以大疱性ENL作为麻风的首发表现，通过组织病理学得以确诊。
