01343nas a2200205   4500000000100000008004100001260001200042653002100054100001200075700001400087700001700101700001200118700001200130245012200142856007800264300000800342490000700350520076600357022001401123       2021                            d  bMedknow10aGeneral Medicine1 aSinha A1 aDangwal V1 aR. Mallick A1 aSingh A1 aSinha A00aConundrum of recurrent erythema nodosum leprosum and dapsone hypersensitivity syndrome complicating pediatric leprosy  uhttps://www.ijpd.in/temp/IndianJPaediatrDermatol224352-5511976_151839.pdf  a3520 v223 aIntroduction: Leprosy, a chronic infectious disease affecting the skin and peripheral nerves, has been considered a disease of adults due to its long incubation period, but in endemic regions like the Indian subcontinent, pediatric leprosy cases continue to rise reflecting active disease transmission in the community. Case report: We describe a case of bordeline lepromatous leprosy in a child complicated by severe type 2 lepra reaction and dapsone hypersensitivity syndrome. Conclusion: Pediatric leprosy cases though commonly paucibacillary, can also present with a high bacillary burden. Complicated leprosy cases need nuanced care and highlight the importance of adequate clinical exposure to leprosy cases, so that such cases can be confidently managed.  a2319-7250