What is new in the pathogenesis and management of erythema nodosum leprosum

Erythema nodosum leprosum (ENL) is a manifestation of type II lepra reaction, seen in lepromatous or borderline lepromatous leprosy. Although it is a common reaction encountered in clinical practice, there are an increasingly large number of newer updates in the pathophysiology and management of thi...

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Main Authors: Ramesh M Bhat, Tanvi P Vaidya
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Indian Dermatology Online Journal
Subjects:
Online Access:http://www.idoj.in/article.asp?issn=2229-5178;year=2020;volume=11;issue=4;spage=482;epage=492;aulast=Bhat
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author Ramesh M Bhat
Tanvi P Vaidya
author_facet Ramesh M Bhat
Tanvi P Vaidya
author_sort Ramesh M Bhat
collection DOAJ
description Erythema nodosum leprosum (ENL) is a manifestation of type II lepra reaction, seen in lepromatous or borderline lepromatous leprosy. Although it is a common reaction encountered in clinical practice, there are an increasingly large number of newer updates in the pathophysiology and management of this condition.The treatment options have expanded far beyond just thalidomide and steroids and now extends to TNF-α inhibitors, thalidomide analogs, tenidap, cyclosporine A, plasma exchange, and even IVIG amongst others. These updates and the current knowledge of ENL are summarized in this review.
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spelling doaj.art-f721bb5606294345844b2c2d28287f372022-12-21T20:22:10ZengWolters Kluwer Medknow PublicationsIndian Dermatology Online Journal2229-51782020-01-0111448249210.4103/idoj.IDOJ_561_19What is new in the pathogenesis and management of erythema nodosum leprosumRamesh M BhatTanvi P VaidyaErythema nodosum leprosum (ENL) is a manifestation of type II lepra reaction, seen in lepromatous or borderline lepromatous leprosy. Although it is a common reaction encountered in clinical practice, there are an increasingly large number of newer updates in the pathophysiology and management of this condition.The treatment options have expanded far beyond just thalidomide and steroids and now extends to TNF-α inhibitors, thalidomide analogs, tenidap, cyclosporine A, plasma exchange, and even IVIG amongst others. These updates and the current knowledge of ENL are summarized in this review.http://www.idoj.in/article.asp?issn=2229-5178;year=2020;volume=11;issue=4;spage=482;epage=492;aulast=Bhaterythema nodosum leprosumerythema nodosum leprosumlepra reactionthalidomide
spellingShingle Ramesh M Bhat
Tanvi P Vaidya
What is new in the pathogenesis and management of erythema nodosum leprosum
Indian Dermatology Online Journal
erythema nodosum leprosum
erythema nodosum leprosum
lepra reaction
thalidomide
title What is new in the pathogenesis and management of erythema nodosum leprosum
title_full What is new in the pathogenesis and management of erythema nodosum leprosum
title_fullStr What is new in the pathogenesis and management of erythema nodosum leprosum
title_full_unstemmed What is new in the pathogenesis and management of erythema nodosum leprosum
title_short What is new in the pathogenesis and management of erythema nodosum leprosum
title_sort what is new in the pathogenesis and management of erythema nodosum leprosum
topic erythema nodosum leprosum
erythema nodosum leprosum
lepra reaction
thalidomide
url http://www.idoj.in/article.asp?issn=2229-5178;year=2020;volume=11;issue=4;spage=482;epage=492;aulast=Bhat
work_keys_str_mv AT rameshmbhat whatisnewinthepathogenesisandmanagementoferythemanodosumleprosum
AT tanvipvaidya whatisnewinthepathogenesisandmanagementoferythemanodosumleprosum