LML) BT Hansen's Disease and nerve abscesses - surgical intervention or MDT alone?

Leprosy Mailing List – January 11,  2015

Ref.:    (LML) BT Hansen's Disease and nerve abscesses - surgical intervention or MDT alone?

From: Maneesha Godbole, Hubli, Karnataka, India

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Dear Dr. Schreuder,

 

With reference to the letter of Dr. Sunil Ghate (LML, January 9, 2015):

-       If there is no nerve function impairment I would suggest leaving them alone, especially the ulnar and median.

-       No impairment means that the abscesses are obviously cold abscesses, not exerting any pressure on the nerves.

-       If appearance is bothering the patient, you can remove the one near the middle finger.

-       Most of the times, surgery to excise these abscesses causes more damage than leaving it alone.

 

The nerve function of course needs to be monitored closely.

 

Regards,

 

Dr.Maneesha Godbole

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LML - S Deepak, B Naafs, S Noto and P Schreuder

LML blog link: http://leprosymailinglist.blogspot.it/

 

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