Abstract:
Type 2 lepra reaction or erythema nodosum leprosum (ENL) is an immune complex syndrome that occurs
mostly in lepromatous leprosy and sometimes in borderline lepromatous leprosy patients. We present an
untreated case of lepromatous leprosy, who presented with type 2 lepra reaction and livedo reticularis. Livedo
reticularis, though seen in lucio phenomenon, is not a part of type 2 lepra reaction. The case is being reported
for its rarity
