1. Numerous cutoneous and subcutaneous lesions are shown, mostly red and raised, with pustule formation and ulceration in several places. ENL stands for 'erythema nodosum leprosum' and is a frequent complication of types of MB leprosy near the lepromatous end of the immune spertrum. Attacks of ENL typically last for about 2 weeks, often accompanied by fever, malaise, and pain in the nerves, joint involvement and eye complications. Mild cases may be managed under field conditions (consult your national guidelines), but severe or persistent cases are best managed in a referral unit or special centre. Type 2 reaction.
