Leprosy
Mailing List, August 25th, 2008
Ref.: Request of
information about treatment of type 1 (reversal) reaction.
From: Ranawaka R.,
Anuradhapura
,
Sri Lanka
Dear Dr Salvatore,
I have two
clinical problems which I would appreciate others experience in
management. Herewith is
described the second one. The
first case was described in the previous message.
Patient 2;
60 year old women with lepromatous leprosy presented with type 1
reaction. She was treated with oral prednisolone for 3 months. At the tapering off of
prednisolone she developed recurrence of type 1 reaction twice.
Is type 1
reaction described in lepromatous leprosy? Is there a recurrent type of
this reaction? Is the 3 month course of oral prednisolone the standard
treatment? LML collegue's experience
in management of this condition will be greatly appreciated.
Kind regards,
Ranthilaka Ranawaka
Consultant Dermatologist
Teaching Hospital
Anuradhapura
Sri
Lanka
