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[Cellular immunity in leprosy patients].

M S de Arruda, O S de Arruda, R N Fleury

    Medicina Cutanea Ibero-Latino-Americana
    |January 1, 1982
    PubMed
    Summary
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    Cellular immunity in arrested lepromatous leprosy patients was assessed using various tests. Results indicate specific immune responses, suggesting a distinct sub-population within lepromatous leprosy.

    Area of Science:

    • Immunology
    • Dermatology
    • Infectious Diseases

    Background:

    • Lepromatous leprosy is a form of leprosy characterized by significant immune dysregulation.
    • Evaluating cellular immunological competence is crucial for understanding disease progression and treatment efficacy.

    Purpose of the Study:

    • To assess the cellular immunological competence of clinically arrested lepromatous leprosy patients.
    • To investigate potential cross-reactivity between different immunological tests.
    • To determine the influence of sulfone therapy on immunocellular results.

    Main Methods:

    • Forty-eight clinically arrested lepromatous leprosy patients underwent testing for cellular immunity.
    • Tests included purified protein derivative (PPD), Trichophytin, 2,4-dinitrochlorobenzene (DNCB), T lymphocyte percentage, and lepromin reactions (early and late).

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  • Histopathological examination of Mitsuda reactions was performed.
  • Main Results:

    • Lepromatous patients showed positive PPD test results more frequently than controls.
    • All patients were positive for DNCB and negative for the Fernandez reaction.
    • Late lepromin reactions were negative, but histopathology revealed varying degrees of reactivity, including granulomatous inflammation.
    • No cross-reactivity was observed between PPD and lepromin tests.

    Conclusions:

    • Sulfone therapy did not interfere with the immunocellular results of the employed tests.
    • Lepromatous patients responded similarly to the general population in unspecific sensitivity tests.
    • Histopathological findings in Mitsuda reactions suggest a sub-population of borderline patients within the lepromatous group.