Leprosy Mailing List – March 9, 2016
Ref.: (LML) 19th International Leprosy Congress Beijing 2016
From: Jaison Barreto, Bauru, Brazil
Dear Pieter,
About pseudo-classifications, it is important to remind some points:
1. If a patient has only one visible leproma, even if infiltration is not easily seen, it is not a PB leprosy.
2. If a patient has only one visible honeycomb like plaque, with ill-defined borders, this patient has mid borderline leprosy, and this is not PB leprosy.
3. If a patient has only one plaque, even with well-defined borders, but several nerve trunks affected, i.e., disseminated disease, this patient has borderline tuberculoid leprosy, and this is not PB leprosy.
PB or MB are NOT forms of leprosy, but schemes of treatment.
Patients with several visible lesions have disseminated disease, but the opposite is not true, unfortunately.
Subclinical involvement of skin or nerves, or other organs like testis, kidneys or liver, is seen, in many instances, only after the beginning of MDT. We call this manifestations as reactions.
Regards,
Jaison
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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