Leprosy
Mailing List, August 28th, 2008
Ref.: Management of
reversal (type 1) reaction
From: Garbino J. A., Bauru, SP, Brazil
Dear friends,
I refer to Dr
Ranawaka’s message about treatment of type 1 reaction (LML Aug. 25th,
2008). I think that type
1 reaction in MB patients takes more time to solve and the
3-month oral prednisolone regimen used was too short. This would explain the relapse
when the steroid was tapered off.
I suggest to
extend the steroid regimen and, even in smaller doses than at the
beginning, the reaction and nerve will continue recovering.
Regards,
José Antônio
Garbino
