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Leprosy Mailing List – September 22nd, 2010

 

Ref.:   Clofazimine in ENL

From: Willem Theuvenet, Apeldoorn, The Netherlands


 

 

Dear Salvatore,

 

In addition to the valuable comments of Pieter Schreuders and Ben Naafs (LML Sept. 2nd 2010): I fully agree on their comments.  Perhaps a word of caution in those cases of chronic recurrent ENL when a prolonged regime of Clofazamine needs to be combined with corticosteroids.  In that situation there is definitely an increased risk of drug induced gastro-intestinal bleeding.  This risk is further increased when analgetics are added. 

These patients should be carefully monitored for this potential life threatening complication.

 

With best regards,

 

Willem Theuvenet

 

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