ENLS

Ileus can be prolonged in patients due to bowel deposits of clofazimine mimicking obstruction since chronic ENL patients are usually on high dose clofazimine.

However if there is a risk of ENL eruption then it must be continued in the lowest effective dose.

Se ha aumentado la responsabilidad social corporativa de la universidad: por si solo, el presente proyecto ha generado una treintena de convenios de colaboracion con ENLS para la Universidad Complutense, llenos de contenido y que se han convertido en iniciativas reales con resultados contrastables.

Los tres actores forman un sistema colaborativo similar a la forma de trabajar de una agencia de comunicacion con su cliente: los profesores son los supervisores de cuentas y las ENL adoptan el papel del cliente, mientras que los estudiantes forman el equipo profesional (ejecutivos de cuentas, creativos, directores de arte, investigadores, <<community managers>>, etc.).

Erythema Nodosum Leprosum (ENL) reaction is a complication of multibacillary (MB) leprosy, occurring before, during and after multidrug therapy.

The Operational Guidelines of the Global Strategy for Further Reducing the Leprosy Burden published by WHO in 2006 describes ENL as a syndrome of 'complex medical problems requiring careful management by experienced clinicians'.

Thus extreme caution should be taken to monitor patients for possible adverse events due to prolonged use of steroids even long after they have successfully completed their steroid course and are free of signs & symptoms of ENL reactions.

(15) The drug is acknowledged as an effective treatment for ENL by the WHO Expert Committee on Leprosy, but other publications state that WHO does not support the use of thalidomide in ENL or even more emphatically that there is no role for thalidomide in the management of leprosy.

Fourteen of these patients suffered from recurrent ENLs, four patients were still MI positive at the end of therapy period and two of them relapsed 3 years after RFT.

Six of these patients had experienced recurrent ENLs. All patients were restarted on MDT MBR and showed both clinical and histopathological improvement on completion of 12 months MDT.

These patients suffered from recurrent ENLs approximately every 12 weeks during the surveillance period.