Annular XXXX with atypical @entity9374 in leprosy.

@entity1 @entity1605 @entity1183 @entity548 @entity4530 @entity2816 @entity111 @entity1202 @entity617 @entity800 @entity5406 @entity9374
@entity5406 ( @entity5406 ) is an immune complex-mediated reaction that may complicate the course of @entity1202 . @entity4530 in @entity1605 , though reported, are exceedingly rare. We report the case of a 32 year old female @entity1 who presented initially at our OPD with @entity5406 . Cutaneous examination revealed @entity1183 over dorsum of right foot and thickened right lateral popliteal nerve. Slit skin smear (SSS) from ear lobes revealed AFB with a bacteriological index of 2+. She was started on MDT, tablet @entity800 200 mg twice a day, and 30 mg oral @entity617 . Two months later, she presented with generalised @entity111 , large target lesions over the back, and @entity548 over lower extremities and annular pattern of bullae, over both arms. A SSS was repeated which was positive for AFB. Histopathology from @entity4530 was consistent with @entity5406 . Direct Immunofluorescence (DIF) study was negative. Our @entity1 improved rapidly after she was started on @entity2816 100 mg twice daily, with withdrawal of @entity800 . @entity9374 ( @entity9374 ) and annular @entity4530 have been reported in @entity1 on treatment with @entity800 . This case is being presented due to the unusual and varied manifestation of @entity1605 in a 34 year old female @entity1 .
