00933nas a2200217   4500000000100000008004100001653001500042653001300057653001200070653001200082653003000094653001200124100001200136700001400148700001200162245010900174856005100283300001400334490000700348520036000355       2017                            d10aUlcerative10aReaction10aleprosy10aHansens10aErythema Nodosum Leprosum10aBullous1 aSanke S1 aChander R1 aKumar A00aFamilial clustering of severe atypical variants of erythema nodosum leprosum in immunocompetent siblings  uhttps://leprosyreview.org/article/88/4/56-8573  a568–5730 v883 a<p>The clinical picture of leprosy is very varied, with familial clustering of the disease being rare. Erythema nodosum leprosum (ENL) is a common manifestation of Type 2 reaction in leprosy. We present here two immunocompetent siblings who presented simultaneously with pustular, ulceronecrotic, bullous and impetigo like erythema nodosum leprosum.</p>