01010nas a2200205   4500000000100000008004100001260001200042653002300054653002000077653003000097653001200127100001200139700001400151245008700165856006200252300001200314490000600326520045800332022001400790       2020                            d  c03/202010aHansen’s disease10aType 2 reaction10aerythema nodosum leprosum10aleprosy1 aMohan S1 aFairley J00aA Challenging Case of Domestically Acquired Leprosy in the Southern United States.  uhttps://academic.oup.com/ofid/article/7/3/ofaa060/5742087  aofaa0600 v73 a<p>Hansen's disease (HD) is rare in the United States, but a steady number of cases are diagnosed annually, especially in southern areas where armadillos are present. Challenges associated with erythema nodosum leprosum (ENL), a complication of multibacillary leprosy, call for novel regimens. We present a case of a man with recalcitrant ENL from HD likely acquired in the United States. He required a combination of 4 drugs to control chronic ENL.</p>  a2328-8957