Patient with leprosy awaiting renal transplant in the USA

Leprosy Mailing List – April 7th, 2011 

Ref:    Patient with leprosy awaiting renal transplant in the USA

From: Wong M., Boston, USA

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Dear Dr Noto,

I refer to prof. Coster’s message (of yesterday).  I won't comment on the need for additional therapy pre-renal transplant as I'd be asking the same questions myself, but as a Transplant Infectious Diseases section director, I'd also suggest the patient receive dapsone for post-transplant suppression.  The drug can serve 2 purposes-- 1) Pneumocycstis prophylaxis; and 2) secondary suppression assuming the primary LL/ENL is adequately treated pre-transplant. 

Best regards,

Michael Wong