Leprosy

Question 1

Type of leprosy at risk of Type 1 reaction

Answer 1

Borderline leprosy (BT, BB, BL)

Question 2

Type of leprosy at risk of Type 2 reaction

Answer 2

Borderline lepromatous and lepromatous (BL, LL)

Question 3

Management of Type I reaction

Answer 3

1. Maintain Rx
2. Neuritis/severe skin infl - pred 80mg
   Mild rxn/ no neuritis - aspirin/chloroquine

Question 4

Management of Type II reaction

Answer 4

1. Maintain Rx
2. Neuritis/iridocyclitis
   - Thalidomide (M, postMP W)
   - Pred 3-4wks (preMP w)
   Mild rxn - aspirin, chloroquine, antimonials