EARLY DIAGNOSIS OF RELAPSE IN BORDERLINE LEPROSY: TWO CASE REPORTS

Ano: 2011 | Volume: 53 | Número: 6

Autores: Maria Luiza Figueiredo Braga BRANDÃO, Cíntia Maria Oliveira LIMA, Juan PIÑEIRO-MACEIRA, Alice MIRANDA, M.Leide W. de OLIVEIRA

Palavras-chave: Leprosy, Relapse, Borderline leprosy

Resumo Inglês:

Two cases of relapse in borderline leprosy were reported. Despite the late-reversal, reaction-like feature, the suspicion of relapse
in both was based on persistent and slow-developing skin lesions and an absence of acute neuritis or reaction during one year of
follow-up. The authors have considered this possible occurrence in lepromatous borderline-treated patients after their immune cellular
restoration and defend that not all Type 1 reactions would be an inflammatory answer to persistent Mycobacterium leprae, but that
they could be. Therefore, a relapse diagnosis could be applied and it is more advisable, as one year of Multi-Drug Therapy (MDT) is
less dangerous and more efficient for these cases than one year of corticosteroids.