Moderate Erythema nodosum leprosum
What is Moderate Erythema Nodosum Leprosum?
Erythema Nodosum Leprosum (ENL) is a painful skin condition associated with Leprosy. It is characterized by tender, red, raised bumps on the skin, often on the legs. These eruptions usually last for several weeks to months and can be associated with fever, malaise, joint pain, and numbness. In some cases, these lesions can lead to skin ulcers or scarring. In severe cases, ENL can lead to blindness or disfigurement.
Moderate ENL is defined as skin eruptions that do not spread to other known areas of skin and are not associated with any systemic symptoms such as fever, malaise, joint pain, and numbness. Moderate ENL is usually self-limiting and tends to resolve spontaneously within 2–3 weeks.
Treatment of Moderate Erythema Nodosum Leprosum
Treatments for ENL are aimed at relieving both the pain and inflammation of the affected skin. Mild cases typically respond to self-care and home remedy measures, which may include:
- Applying cold compresses or cold packs to the lesions several times a day
- Taking over-the-counter pain medications such as ibuprofen and naproxen sodium
- Using an emollient cream or ointment to reduce skin irritation
- Avoiding hot baths and showers
- Using wet wraps to reduce itching
- Using sunscreen while outdoors
More severe or persistent cases may require prescription medication, such as systemic steroids, antimalarial drugs, antibiotics, or immunosuppressants. In cases of severe or chronic ENL, surgery may be necessary to remove necrotic tissue or remove skin lesions or scars. It is important to talk to your doctor before starting any new medication.
Prevention of Moderate Erythema Nodosum Leprosum
The best way to prevent ENL is by avoiding contact with individuals who have leprosy. Additionally, early detection and treatment of leprosy can help prevent it from advancing to the stage of ENL. Regularly washing hands, avoiding sharing items that come in contact with the skin, and avoiding close contact with individuals who may have a contagious form of leprosy should help reduce the chances of acquiring the disease.