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Articles linked to this work by shared authors, journal, and citation graph.

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Comments to the letter to the editor by Dr Sweta Subhadarshani.

Journal of the European Academy of Dermatology and Venereology : JEADV·2019
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Borderline lepromatous leprosy, Erythema Nodosum Leprosum and a generalized varicella zoster virus infection: a deadly combination.

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Neurophysiological patterns of ulnar nerve neuropathy in leprosy reactions.

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Position statement: LEPROSY: Diagnosis, treatment and follow-up.

W Alemu Belachew1, B Naafs1,2,3,4

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Leprosy, a chronic infection, is often overlooked in Europe due to decreased medical emphasis, leading to diagnostic delays. Early detection and treatment are crucial for managing Hansen's disease and its complications.

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Area of Science:

  • Infectious Diseases
  • Dermatology
  • Microbiology

Background:

  • Leprosy (Hansen's disease) is a chronic infection caused by Mycobacterium leprae and Mycobacterium lepromatosis.
  • While often imported in Europe, leprosy cases can emerge in historically endemic areas.
  • Reduced emphasis in medical curricula and a shift in focus to tuberculosis and HIV have led to decreased suspicion and awareness of leprosy.

Purpose of the Study:

  • To provide a comprehensive overview of leprosy diagnosis, complications, and treatment.
  • To highlight the importance of recognizing leprosy despite its declining prevalence in medical education.
  • To address the issue of diagnostic delay in leprosy cases.

Main Methods:

  • Literature review and clinical experience.
  • Focus on clinical diagnosis, potential complications, and therapeutic strategies.
  • Discussion of etiopathology and the role of laboratory tests.

Main Results:

  • Laboratory tests are valuable for leprosy classification, patient follow-up, and relapse detection.
  • The paper discusses the underlying causes and disease mechanisms (etiopathology) of leprosy.
  • Clinical diagnosis and management strategies are detailed.

Conclusions:

  • This paper serves as a position statement on leprosy management.
  • Emphasizes the need for increased awareness and vigilance among healthcare professionals.
  • Underscores the importance of timely diagnosis and treatment to prevent complications and doctor's delay.