Chronic erythema nodosum leprosum in Hansen's disease: a challenging clinical management.
A 34-year-old Moroccan man with multibacillary Hansen’s disease developed chronic erythema nodosum leprosum (ENL), with recurrent systemic and cutaneous flares requiring prolonged immunomodulatory treatment.
Clinical pearl
Chronic ENL can remain difficult to control despite several immunomodulatory approaches; this case describes sustained remission with combined methylprednisolone, high-dose thalidomide, and clofazimine.