Leprosy
Mailing List, April 25th, 2009
Ref.:
Pruritus in BL, LL and
smear positive relapse leprosy lesions
From:
Pai V. V., Mumbai, India
Dear
Dr Noto,
We
have observed in some of the new smear positive borderline lepromatous,
lepromatous cases and as well as those with smear positive relapse of
the disease who reported to the Bombay Leprosy Project Referral centre,
itching in the lesions (infiltration, plaques) as a main reporting
complaint by the patient which made them report to the clinic. On
careful cutaneous examination and bacteriological examination smears
from the lesions were reported to be positive.
We
found pruritus as a symptom in such lesions can be misleading in
treating other dermatological disorders and therefore can be thought
of suspecting multibacillary smear positive leprosy. This
is just our observation. We
would like to know from leprosy mailing list readers about such
experience by others if any.
Dr
V V Pai
Bombay
Leprosy Project
