FW: (LML) Request advice on a lepromatous patient treatment

 

Leprosy Mailing List – October 7,  2019

Ref.:  (LML)   Request advice on a lepromatous patient treatment

From:  Juan Periche Fernandez, Santo Domingo, Rep. Dominicana

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Dear colleagues,

I would like to request help on a leprosy patient treatment.

A female patient, 40 years old, diagnosed as lepromatous leprosy 9 months ago. At that time she had slit smear from both ears, both elbows, both knees positive 5-6+
Histopathology also for lepromatous leprosy plus fite 6+

She started MDT according to WHO, but soon she stop clofazimine besause of the skin pigmentation. She also had to stop Dapsone because of decreased RBC count.

Her slit smears are still 5-6+. She developed erythema nodosum (biopsy confirmed)
She is taking thalidomide for that.

What drug could I use alongside Rifampicin?

Thanks in advance,

Dr. Juan Periche Fernandez

   Medico-Dermatologo - Enfermedades de piel, uñas  y pelo
   Director Programa de control de la lepra de Rep. Dom.
   Coordinador Comite de etica interno (IRB)
   Co-coordinador de la Residencia de Dermatologia
   Instituto Dermatologico y Cirugia de Piel Dr. Huberto Bogaert Diaz
   (809)684-3257 ext 234  jperiche@hvtudr.org

   Movil (809)815-1060
   Santo Domingo DN Rep Dominicana

   Luchamos todos unidos por un mundo sin lepra

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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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