Annales de Dermatologie et de Venereologie 1998-Mar
[Bullous erythema nodosum leprosum. A case report in French Guiana].
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BACKGROUND
Polar and borderline lepromatosis leprosy can be complicated by type 2 reactional states, including erythema nodosum leprosum.
METHODS
A 36-year-old man was treated for lepromatous leprosum. He consulted for recurrent erythema nodosum leprosum. Certain nodular lesions were bullous. Histopathology demonstrated major dermal edema causing bullous blisters. Treatment with thalidomide led to rapid regression.
CONCLUSIONS
The bullous form of erythema nodosum leprosum is rarely described in the literature. It raises the diffential diagnosis with other bullous dermatoses, particularly Sweet's syndrome.
