Abstract
A patient with lepromatous leprosy while on multidrug therapy (MDT) presented with crops of brightly erythematous tender nodules on both upper and lower extremities along with bullous necrotic lesion over face and trunk of one week duration. The lesions were associated with high grade fever. Bilateral ulnar, radial cutaneous and lateral popliteal nerves were thickened. Slit skin smear showed a bacterial index (BI) of 4+ with morphological index 40% and histopathology was consistent with type II reaction. Systemic naproxen, corticosteroid and clofazimine were administered and the patient became symptoms free after a week. On 21 st
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