Abstract
Leprosy is a chronic, slowly progressive, granulomatous infection caused by Mycobacterium leprae. Reactions in leprosy, also known as lepra reaction, are not uncommon. They are of two types – Type 1 lepra reaction (occurring in borderline disease) and the Type 2 lepra reaction (occurring in lepromatous disease).1 Skin lesions in lepra reaction generally manifest as exacerbation of existing skin lesions which become more erythematous and oedematous as well as appearance of fresh similar lesions (Type 1) or appearance of crops of numerous evanescent, erythematous, tender nodules and plaques (Type 2). Bullous lesions are a rarity in lepra reactions. Recently we came across a case of leprosy with Type 2 lepra reaction having bullous lesions which prompted us to report the case.
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