01395nas a2200217   4500000000100000008004100001653001200042653003600054653005600090100001300146700001100159700001400170700001100184700001200195700001100207245012400218856005100342300001200393490000700405520076500412       2018                            d10aleprosy10aErythema nodosum leprosum (ENL)10aPityriasis lichenoides et varioliform acuta (PLEVA)1 aSirka CS1 aSahu K1 aPradhan S1 aNaik S1 aRout AN1 aDash G00aErythema nodosum leprosum (ENL) mimicking Pityriasis lichenoides et varioliform acuta (PLEVA): An atypical presentation  uhttps://leprosyreview.org/article/89/3/31-0315  a310-3150 v893 a<p>Erythema Nodosum Leprosum (ENL) or Type 2 lepra reaction is found in the lepromatous pole of leprosy.1 It usually presents as tender, erythematous, evanescent nodules associated with systemic features. Besides nodular lesions, various reported atypical presentations of ENL include pustular, bullous, ulcerated and erythema multiforme-like lesions. Atypical presentations often lead to delay in diagnosis and treatment which may lead to severe systemic complications in ENL. We are reporting a 50 year old male who presented with recurrent papular and pustular crusted skin lesions associated with mild fever and was misdiagnosed as PLEVA initially, but later on was proved to have lepromatous leprosy with erythema nodosum leprosum on histopathology.</p>