Leprosy Mailing List – December 2, 2021
Ref.: (LML) Detection of nerve damage in leprosy and timely treatment
From: Marcos Virmond, Bauru, Brazil
Dear Pieter
I am quite happy with the message by dr. Benn Naafs regarding the relevance of sensory testing in a disease that is primarily a peripheral nerve disorder. I read Dr. Naafs' message as a necessary and a timely warning to health professionals on the need to use monofilaments as a clinical tool in the diagnosis and, most of all, in the follow-up of cases of leprosy with clear sensory nerve compromise.
It is also very interesting and important to have the testimony of Mr. Anthony Nicoll, from SORRI-Bauru, on the history of this famous and widely used (in Brazil) Pocket Monofilaments Set - a real achievement of Mr. Nicoll and this team. I recall the success of this pocket set when Mr. Nicoll presented it during the 2nd Congress of the College of Hansenology of The Endemic Countries held in Baton Rouge-USA in 1985. He offered some 50 sets ( I cannot recall the exact number) and it was sold out after less than half an hour!
Besides skin involvement, nerve damage is the real threatening feature of leprosy and health teams must be prepared to cope with this.
I wish to thank dr. Naafs for his opportune message.
Marcos Virmond MD, PhD
former director ILSL-Bauru
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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