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Skin General b8e35bb8

Thalidomide is not used in

A
ENL
B
Bechet's syndrome
C
HIV associated Oral ulcers
D
HIV associated neuropathy
High-Yield Explanation
D i.e. HIV associated neuropathy Peripheral neuropathy is a dose limiting toxicity of thalidomide & not a therapeutic indicationQ. It causes painful sensory ganglionopathy & axonal neuropathy. Indications of Thalidomide - Erythema nodosum leprosum (ENL)Q: Only FDA approved use for treatment of cutaneous manifestations . of moderate to severe ENL and for maintenance therapy for prevention and suppression of cutaneous manifestations of ENL recurrence. - Severe, recurrent apthous stomatitisQ, especially in AIDS patients is common off label use. - Behects syndromeQ - Chronic graft versus host disease. * HIV associated colitis and wasting, multiple myeloma, myelodysplasia, chronic idiopathic myelofibrosis, glucocoicosteroid refractory fistulosis-Chron's disease, sarcoidosis, prurigo, stomatitis are other rare uses.

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