Erythema nodosum leprosum (ENL) is a severe multisystem immune mediated complication of borderline lepromatous leprosy and lepromatous leprosy. ENL is associated with skin lesions. neuritis. arthritis. https://www.roneverhart.com/Traditional-Karate-Do-Okinawa-Goju-Ryu-Book-1-The-Fundamental-Techniques-by-Morio-Higaonna-Preowned/