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Type 1 Lepra Reaction Treatment

The type 1 lepra reaction is a delayed type of hypersensitivity to leprae antigens. Nerve conduction studies before above and after below t1r steroid treatment. We report the first case to our knowledge of a type 1 leprosy reaction that was successfully treated with methotrexate in a patient intolerant to corticosteroids who had borderline lepromatous leprosy.
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Intralesional triamcinolone acetonide 10 mgcc was subsequently administered within the individual lesions.

Type 1 lepra reaction treatment. Home anti cancer lepra reaction. Reversal reaction or lepra type 1 reaction is a delayed type hypersensitivity reaction that arises when borderline leprosy shifts toward borderline lepromatous leprosy with treatment. Corticosteroids are the drugs of choice for treatment of type 1 leprosy reactions but when these agents cannot be used because of their adverse effects alternative treatments are needed.

Expert consultation from the national hansens disease leprosy program determined that the patient was experiencing a type 1 reversal reaction not recurrent disease. It is also called a lepra 1 reaction. However the duration of the treatment is a matter of debate.

It is clinically presumed in a patient with borderline leprosy that produces symptoms within a few months of beginning treatment. Courtesy of dr jose garbino treatment. Steroid treatment prednisoneprednisolone with a starting dose of 30 to 40 mg is still considered the treatment of choice for t1r113.

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