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Leprosy Training Module for Medical Officers

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Type I Lepra Reactions<br />

Type I Lepra reaction may occur in both MB & PB <strong>Leprosy</strong>. The patient may<br />

be present with one or more following features :<br />

• Inflammation in skin patches, i.e., skin patches become reddish and swollen.<br />

• Painful, tender and swollen peripheral nerves.<br />

• Signs of nerve damage, i.e., loss of sensation and / or muscle weakness.<br />

• Fever and malaise ( sometimes only ).<br />

• Hands and feet may be swollen.<br />

• Rarely, new skin lesions may appear.<br />

Type 1 Lepra Reaction – Inflammation in existing<br />

patches and / or nerves<br />

Type 1 Lepra Reaction is due to change in CMI<br />

Type 1 Lepra<br />

Reaction<br />

Reaction in skin<br />

patch only<br />

Reaction in nerve<br />

only<br />

Reaction in both<br />

skin patch & nerve<br />

Inflammation in<br />

skin patch<br />

Inflammation in<br />

nerve , i.e. ,<br />

neuritis<br />

Inflammation in<br />

both skin patch<br />

and nerve<br />

No de<strong>for</strong>mity Risk of de<strong>for</strong>mity Risk of de<strong>for</strong>mity<br />

49

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