Tropical diseases prevalent in leprosy-endemic areas may alter the immunological patient response and also complicate the presentation of leprosy reactional episodes. The introduction of anti-malarial drugs in our case produced a subsidence of reaction. With dwindling manpower skilled in leprosy, the reactional episodes are very often treated with non-steroidal anti-inflammatory drugs, steroids and thalidomide, neglecting the possibility of other co-existing infections, tropical or other. Our case emphasises the importance of history, examination and balanced investigation in the context of tropical diseases in endemic areas before injudicious intervention.
All Keywords
【저자키워드】 Plasmodium falciparum malaria, erythema nodosum leprosum, Tropical infections, leprosy reactions,
【저자키워드】 Plasmodium falciparum malaria, erythema nodosum leprosum, Tropical infections, leprosy reactions,