Fw: Ref.: (LML) Detection of nerve damage in leprosy and timely treatment

 

 

 
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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