Leprosy Mailing List – December 2, 2015
Ref.: (LML) Draft WHO Leprosy Strategy 2016-2020
From: Wim Theuvenet, Apeldoorn, the Netherlands
Dear Pieter,
Thanks to Dr Joel Almeida for his valuable comments (LML, 18-11-2015).
The proposal to monitor nerve function monthly for at least 2 years after the start of the MDT is an utmost sensible one, but then the proper tools to effectively treat nerve function loss are unfortunately lacking.
It is only a minority of the nerves with serious function loss and when treated with corticosteroids, etc., will recover to a functional level (protective sensation and muscle strength VMT grade 4 or 5).
Any recommendations?
Best regards,
Willem Theuvenet
LML - S Deepak, B Naafs, S Noto and P Schreuder
LML blog link: http://leprosymailinglist.blogspot.it/
Contact: Dr Pieter Schreuder << editorlml@gmail.com
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