Volume : II, Issue : VI, June - 2013

A Case of Erythema Nodosum Leprosum with Acute Tubular Necrosis

Dr R T Borse, Dr Preetamkumar Jain

Abstract :

36 years old male admitted with high grade fever with generalized swelling since 15 days. Simultaneously, he also developed redness of both eyes. His urine output declined in last 2 days .Examination revealed B/L conjunctival redness,Facial plethora . Few discrete erythmatous, blanchable papules /nodules were seen over the flexor and extensor aspect of the forearms. His renal functions were found to be deranged for day 1 to day 7 . Skin biopsy was consistent with the diagnosis of Erythema Nodosum Leprosum. ZN stain was positive for AFB [Bacterial index 4+]. Kidney biopsy was diagnostic of Acute Tubular Necrosis. Patient received multibacillary therapy. Rifampicin 600mg+clofazamine 300 mg once a month supervised dose, dapsone 100mg+ clofazamine 50mg daily self administered. Steroids were also started in view of ENL. Within 3 days of the treatment, rashes started fading, facial plethora disappeared, conjunctival redness disappeared and renal function tests were normal over next 15 days.

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

Dr R T Borse, Dr Preetamkumar Jain A Case of Erythema Nodosum Leprosum with Acute Tubular Necrosis International Journal of Scientific Research, Vol : 2, Issue : 6 June 2013

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