A combination Rifapisin 600 mg/bulan day for 3 months is one of the management of leprosy besides multi drug treatment (MDT-WHO. Erythema Nodusm leprosum reaction (ENL) is still a problem in the management of leprosy besides multi drug treatment (MDT-WHO). Erythema Nodosum leprosum reaction (ENL) is still a problem in the management of leprosy with corticosteroids as the major therapy. For dete…