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Leprosy Training Module for Medical Officers

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Patients with following characteristics are more likely to develop lepra<br />

reactions :<br />

• Many lesions<br />

• Lesions close to the Nerve<br />

• Lesions on face<br />

• Pregnancy<br />

These patients should be monitored more<br />

frequently by doing clinical examinations<br />

including VMT and ST <strong>for</strong> early detection of<br />

nerve damage.<br />

Predisposing factors :<br />

1. Vaccination<br />

2. Infections like viral fever, malaria etc<br />

3. Anaemia<br />

4. Mental and / or physical stress<br />

5. Puberty<br />

6. Pregnancy<br />

7. Delivery<br />

8. Surgical Intervention<br />

These factors do not precipitate reaction in all patients.<br />

47

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