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Revista del Nacional (Itauguá)
versão impressa ISSN 2072-8174
Resumo
SAMUDIO-DOMINGUEZ, Gloria Celeste e ESPINOLA-ESPINOLA, Regina Beatriz. Lepromatous reactions in adults and pediatric outpatients in a reference center. National Lepra Program, Paraguay. Rev. Nac. (Itauguá) [online]. 2016, vol.8, n.2, pp.4-18. ISSN 2072-8174. https://doi.org/10.18004/rdn2016.0008.02.004-018.
Introduction
leprosy, wich is cause by Mycobacterium leprae, also known as Hansen's Disease, affects skin and peripheral nerves. Lepromatous reactions (LRs) are expressions of an immune reaction and remain as a major persistent problem. LRs are present even with appropriated treatment. Emphasis must be made in early diagnosis and prevention of the catastrophic consequences of LRs.
Objective
to determine the frequency and type of lepromatous reactions in leprosy patients with leprosy attending to reference center of Hansen´s Disease in the District Center Hospital in San Lorenzo, from January 2013 to December 2015.
Methodology
observational, retrospective cross sectional study.
Results
217 patients were included, 72% with multibacillary leprosy. 63% were male. Lepromatous reactions were found in 44%, been more frequent Type II reaction, in 65% of cases. LRs as oset disease occurred in 27%. 33 patients presented from 3 to 12 episodes of lepromatous reaction. The number of LRs episodes per patient were 3 to 12. Thalidomide was used as treatment in Erithema Nodosum Leprosum (ENL) and corticosteroids for the other types de LRs.
Conclusions
prevalence of PRs were 50%, been more frecuent the type II. Reaction the treatment used was Thalidomide and/or corticosteroids depending on the type of lepromatosus reaction.
Palavras-chave : Hansen's disease; leprosy; lepra reaction.