Leprosy Mailing List – March 10, 2016
Ref.: (LML) 19th International Leprosy Congress Beijing 2016
From: Indropo Agusni, Surabaya, Indonesia
Dear Pieter,
I am of the same opinion as Dr. Jaison Barreto (LML, March 9, 2016)). During reversal reaction many leprosy cases develop some new small skin lesions (" flare up”) at sites that previously looked like normal skin. It indicates that actually some of leprosy bacilli or antigen are already present in the tissue, without any previous sign or symptom. Soon after the start of MDT or type 1 reaction, the immune system detects the invaders, immune cells are recruited and inflammation occurs, manifested as “flare up" of skin lesions.
Leprosy bacilli seems to be “tolerated " by human body or having a "mask" in their face, so the immune system does not recognized the enemy. They live happily and multiply in human body without any opponent. That is why leprosy should be treated early and not to wait until the presence of skin lesions.
Best regards,
Indropo Agusni
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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