Understanding the type 1 reactional state for early diagnosis and treatment: a way to avoid disability in leprosy

A type 1 reaction or reversal reaction is expressed clinically by inflammatory exacerbation of the skin lesions and nerve trunks, consequently leading to sensory and motor alterations. It occurs in non-polar forms of leprosy, although it can occur in a small percentage of sub-polar LL treated patients. Disabilities, deformities and morbidity, still present in leprosy, are mainly caused by these acute episodes. The recognition of reactional states is imperative for an early approach and efficient management, to avoid the emergence of disabilities that stigmatize the disease. This review aims to describe the clinical aspects, immunopathogenesis, epidemiology, histopathological features and therapeutics of type 1 reactions.

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Bibliographic Details
Main Authors: Nery,Jose Augusto da Costa, Bernardes Filho,Fred, Quintanilha,Juliana, Machado,Alice Miranda, Oliveira,Soraya de Souza Chantre, Sales,Anna Maria
Format: Digital revista
Language:English
Published: Sociedade Brasileira de Dermatologia 2013
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962013000500787
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