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Leprosy Training Module for Medical Officers

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Difference between<br />

Type I Lepra Reaction ( Reversal Reaction ) & Relapse<br />

Features<br />

1. Onset<br />

2. Time of onset<br />

3. Old lesions<br />

4. New lesions<br />

5. Ulceration<br />

6. General<br />

Condition<br />

7. Response to<br />

Corticosteroids<br />

8. Drug<br />

Compliance<br />

Type I Lepra Reaction<br />

1. Sudden, within a few<br />

hours.<br />

2. Generally occurs during<br />

treatment or within 6<br />

months of stopping<br />

treatment.<br />

3. Become red, swollen and<br />

shiny.<br />

4. May develop in some<br />

cases.<br />

5. Ulceration sometimes.<br />

6. Fever & malaise unusual.<br />

7. Excellent.<br />

8. May have been good.<br />

Relapse<br />

1. Slow and insidious.<br />

2. Generally, occurs a long<br />

time after treatment.<br />

3. Margins of some may<br />

become red.<br />

4. Few.<br />

5. Unusual.<br />

6. Not affected.<br />

7. Lesions subside but<br />

reappear. Corticosteroids<br />

are not indicated in<br />

relapse.<br />

8. Poor.<br />

55

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