Leprosy Mailing List – January 19, 2014
Ref.: (LML) Dapsone Syndrome
From: Ben Naafs, Munnekeburen, the Netherlands
Dear dr Jingquan Wang,
Thank you for your health wishes.
I think you treated indeed a dapsone syndrome and you were treating it well. The exfoliating dermatitis may come later than the other symptoms. After stopping the MDT and diminishing the steroids the immunity came back and the antigenic determinants were detected again and the original lesions showed again inflammation. This is visible. The ulceration I cannot explain. But I think will heal by itself.
Treat as new leprosy with a reversal reaction but refrain from dapsone. So treat with clofazimine and for instance minocyclin beside the rifampicin. Treat he reversal reaction with steroids for at least 6 months.
With regards,
Ben Naafs
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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