Introduction:
Pure neuritic leprosy as a distinct type of leprosy is recognized only
under Indian Association of Leprologist’s classification. It includes
leprosy cases affecting peripheral nerves without any skin
lesions.[1] Type 1 reactions (reversal reactions) in leprosy
patients present as increased inflammation of preexisting lesions,
appearance of new erythematous lesions, facial and pedal edema and even
neuritis.[2] Occurrence of type 1 reaction is not common in pure
neuritic leprosy. Whenever it occurs, it usually manifests as increased
intensity of neuritis and nerve function impairment. However, new skin
lesion as manifestation of reactional state is unusual. [3] We
present a case of an adult female diagnosed with pure neuritic leprosy,
who later developed type 1 reaction in the form of neuritis, pedal edema
and appearance of erythematous and edematous new skin lesion over the
left cheek. Type 1 reaction was confirmed by histopathology and patient
was successfully managed with WHO MB-MDT and oral corticosteroids.