Leprosy: classification, reactions, management, NLEP
Dermatology, Venereology and Leprosy · MBBS
Study notes
Anesthetic hypopigmented patch — leprosy; PB; MDT 6 months. Leprosy (M. leprae — anesthetic patches — cooler areas: classify — PB — ≤5 lesions — smear negative; MB — >5 — positive: MDT — PB — rifampicin + dapsone — 6mo; MB — + clofazimine — 12mo: reactions — Type 1 — reversal — inflamed — steroids; Type 2 — ENL — nodules, fever — thalidomide/steroids): NLEP (elimination — free MDT — surveillance): deformities (claw hand — ulnar; foot drop — peroneal: physiotherapy, tendon transfer). The anesthetic patch is leprosy — MDT cures.
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