Management of reversal (type 1) reaction

Leprosy Mailing List, August 28th, 2008

Ref.: Management of reversal (type 1) reaction
From: Garbino J. A., Bauru, SP, Brazil


Dear friends,

I refer to Dr Ranawaka’s message about treatment of type 1 reaction (LML Aug. 25th, 2008). I think that type 1 reaction in MB patients takes more time to solve and the 3-month oral prednisolone regimen used was too short. This would explain the relapse when the steroid was tapered off.

I suggest to extend the steroid regimen and, even in smaller doses than at the beginning, the reaction and nerve will continue recovering.

Regards,

José Antônio Garbino