China Journal of Leprosy and Skin Diseases ›› 2023, Vol. 39 ›› Issue (12): 894-897.doi: 10.12144/zgmfskin202312894

• Case Reports • Previous Articles     Next Articles

Borderline lepromatous leprosy with neuritis and refractory type II leprosy reaction: a case report

LI Jing1,2, NING Ning1,2, XU Zongyan3, GUAN Yang2,4, LI Xiangzi2,4, LI Chao2,4, XUE Haoze1,2, HUANG Junxin1,2, CAI Yumao1,2   

  1. 1 Department of STD and Leprosy Control, Shenzhen Center of Chronic Disease Prevention and Control, Shenzhen 518020, China; 2 Shenzhen Institute of Dermatology, Shenzhen 518020, China; 3 Department of Dermatology , Futian District Chronic Disease Prevention Institute, Shenzhen 518110, China; 4 Department of Dermatology, Shenzhen Center of Chronic Disease Prevention and Control, Shenzhen 518020, China
  • Online:2023-12-15 Published:2023-11-22

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Abstract: We report a 40-year-old female with recurrent painful erythema nodosum on the limbs for more than 6 years. She was diagnosed and treated according to “erythema nodosum” for 19 times in other hospitals. The patient was diagnosed as borderline metachronous leprosy (BL) with neuritis by skin tissue fluid and pathological examination four years ago. Type Ⅱ leprosy reaction occurred frequently during anti-leprosy treatment. The patient has been treated with anti-neuritis and leprosy reaction based on thalidomide and prednisone for more than 4 years, and the therapeutic effect is obvious.

Key words: leprosy, borderline lepromatous leprosy, leprosy reaction