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Methotrexate in resistant ENL.

Bikash R Kar, Ravindra Babu
International Journal of Leprosy and Other Mycobacterial Diseases 2004 December
This is a report of a case of steroid resistant severe Type 2 reaction that was managed with methotrexate and prednisolone. Synergistic action of both the drugs in severe Type 2 reaction make them one of the preferred combinations in the absence of other agents such as thalidomide.

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