Fw: Ref.: (LML) Median nerve damage in leprosy

 

Leprosy Mailing List – January 18,  2022

 

Ref.:  (LML) Median nerve damage in leprosy

 

From:  Zhauda Umerov, Moscow, Russia

 

 

Dear Pieter,

 

What did I see on the figure from S. Noto. The doctor correctly diagnosed the patient with paucibacillary  leprosy and treated with the WHO suggested MDT and he was ready to be released from treatment, but the accompanying ( untreated ) neuropathy was missed and the deformity continued to develop. Atrophy of the palm muscles, scars from burns of the skin of the fingers indicate the duration of leprosy - at least 3 - 5 years. However, the diagnosis of leprosy was made 6 months ago and what we see is that irreversible nerve changes had happened.

 

The reason is the lack of lab. tests of the early stages of leprosy. It is appropriate to recall that 20 years ago, Stewart Cole's brilliant team deciphered the genome of the leprosy pathogen. Unfortunately, the huge work of researchers has not reached the practical medicine.

 

The patient has been treated with the WHO suggested MDT in which there is no drug for the protection of nerve damage in leprosy. It is probably believed that nerve damage is a complication, but not leprosy itself and there is no need to develop a treatment course. A very strange position of WHO experts.

 

In Russia, it is very popular in such cases to ask two questions: "Who is to blame? and What to do?" Perhaps we should answer these questions as well. Here's what I saw in the photo of S. Noto and I completely agree that clinical skills should be on the forefront for everyone, not only a field doctors and their nurses.

 

Kind regards,

 

Zhauda UMEROV

Moscow and Antalya

 

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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