Erythema and edema over left cheek and edema on bilateral legs improved considerably after 2 weeks of starting oral prednisolone 40 mg following which dose of corticosteroid was tapered slowly. The pedal edema subsided (figure 4a) and the erythematous plaque over the left cheek resolved (figure4b) in 8 weeks and after 30 weeks of treatment with tapering dose of oral corticosteroid, steroid was stopped. The patient completed 24 blister pack of WHO MB-MDT.