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