“… on whether the case is histoid or not …”

Leprosy Mailing List – October 15^th, 2011 

Ref.:   “… on whether the case is histoid or not …”

From: P. Narasimha Rao, Hyderabad, India

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Dear all,

Not long ago, we used to have such discussions among teachers and students of Dermatology on suspected histoid cases and lesions, their histo-pathology etc.,  but used to feel very awkward when its  treatment is to be discussed.  After all, they have to be treated like any other leprosy case with more than 5 skin lesions, is it not?  What is the big deal?!  Now, many workers don't fret over such changes when seen!

I am not saying this with pessimism but stating the fact.  The discussion on whether the case is histoid or not, is purely academic and has no therapeutic value, as the treatment is same for all multibacillary patients as per WHO guidelines.  Or else, prove that it is a relapse (ie if you want extra drugs), which is a very difficult task officially, as one has to convince a large group of administrators.

With best regards,

P. Narasimha Rao
Hyderabad, India