There are no accepted criteria for the diagnosis of downgrading type 1 reaction

Leprosy Mailing List – April 23^rd, 2012

Ref.:   There are no accepted criteria for the diagnosis of downgrading type 1 reaction.
From: C Shumin, Shandong, China

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Dear Dr. Kar,

Thank you very much for your comments on the downgrading type 1 reaction [LML April 10^th, 2012].  I agree with you.  So far there are no accepted criteria for the diagnosis of downgrading type 1 reaction.  If yes, what would be the meaning of the downgrading type 1 reaction in terms of the management of the patient?

Warm regards,

Dr. Chen Shumin

Head of Leprosy and STD Control Unit 

Shandong Provincial Institute of Dermatology