We present a patient with new-onset erythema nodosum leprosum months after successful treatment of her mid-borderline leprosy, which was likely triggered by a combination of antecedent influenza vaccination and upper respiratory tract infection.
BoggildAKKeystoneJSKainKC.Leprosy: a primer for Canadian physicians. CMAJ. 2004;170(1):71-78.
2.
BoggildAKCorreiaJDKeystoneJSKainKC.Leprosy in Toronto: an analysis of 184 imported cases. CMAJ. 2004;170(1):55-59.
3.
NeryJABernardes FilhoFQuintanilhaJMachadoAMOliveira SdeSSalesAM.Understanding the type 1 reactional state for early diagnosis and treatment: a way to avoid disability in leprosy. An Bras Dermatol. 2013;88(5):787-792.
4.
OoiWWMoschellaSL.Update on leprosy in immigrants in the United States: status in the year 2000. Clin Infect Dis2001;32:930-937.
5.
SampaioEPDuppreNCNeryJAMoreiraALSarnoEN.Development of giant reaction in response to PPD skin test in lepromatous leprosy patients. Int J Lepr Other Mycobact Dis. 1993;61:205-213.
6.
KahawitaIPWalkerSLLockwoodDN.Leprosy type 1 reactions and erythema nodosum leprosum. An Bras Dermatol. 2008;83(1):75-82.
7.
ReaTHLevanNE.Erythema nodosum leprosum in a general hospital. Arch Dermatol. 1975;111(12):1575-1580.
8.
MottaACPereiraKJTarquínioDCVieiraMBMiyakeKFossNT.Leprosy reactions: coinfections as a possible risk factor. Clinics. 2012;67(10):1145-1148.
9.
SahaKMittalMMRaySN.Consequences of smallpox vaccination in leprosy patients. Infect Immun. 1973;8(3):301-308.
10.
BhatkiWSChulawalaRGBapatCVDeoMG.Reversal reaction in lepromatous patients induced by a vaccine containing killed ICRC bacilli—a report of five cases. Int J Lepr Other Mycobact Dis. 1983;51(4):466-472.
11.
van VeenNHNichollsPGSmithWCRichardusJH.Corticosteroids for treating nerve damage in leprosy: a Cochrane review. Lepr Rev. 2008;79(4):361-371.
