Thursday, December 11, 2008

In Reactions the therapy has to be tailored according to the clinical response

Leprosy Mailing List, December 7th, 2008

Ref.: In Reactions the therapy has to be tailored according to the clinical response
From: Palande Dinkar D., Kurichikuppam, Pondicherry, India



Dear Dr. Noto,

I fully endorse what Ben Naafs says (LML Dec. 2nd, 2008). In Reactions and nerve involvement, even though operationally difficult, the therapy HAS to be tailored according to the clinical response and it is not uncommon to find it necessary to continue steroids more than 3 months. Of course all care has to be taken to prevent steroid induced complications and often one had to add additional measures like increasing the dose of Lamprene in Type 2 reactions.

Warm regards,
Dinkar D Palande

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