@article{33452, author = {Arora P and Sardana K and Agarwal A and Lavania M}, title = {Resistance as a cause for chronic steroid dependent ENL - a novel paradigm with potential implications in management}, abstract = {

Summary The management of Erythema Nodosum Leprosum (ENL) reactions is a challenge as the condition is chronic and recurrent, and requires treatment for a prolonged duration. The exact cause for ENL has not been ascribed, though high bacillary or antigen load perpetuates the immunological reaction. In this article, we report a case of lepromatous leprosy (LL) who presented with recurrent ENL reaction recalcitrant to therapy. Work-up showed rifampicin resistance as a potential cause for the repeated reactions and the patient responded dramatically to an alternative anti-leprosy regimen

}, year = {2019}, journal = {Leprosy review}, volume = {90}, pages = {201– 205}, url = {https://leprosyreview.org/article/90/2/20-1205}, language = {eng}, }