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References in periodicals archive ?
Since slit skin smears are always negative and facilities for nerve biopsy or FNAC are not universally available, relying only on the number of nerves involved for classification into paucibacillary and multibacillary group may be an oversimplification.
The 100 cases of nerve aspirates were classified into paucibacillary and multibacillary types according to bacillary index based on a study done by Vijaykumar et al.
Multibacillary cases were 179 (75%) and paucibacillary 59 (25%).
Relapses in multibacillary patients treated with multi-drug therapy until smear negativity: findings after twenty years.
After 10 months of treatment with multibacillary multi drug therapy (MB-MDT); he had an unusual Type 2 lepra reaction (T2R) with constitutional symptoms, perichondritis, epididymo-orchitis, bilateral pedal edema and tender inguinal lymph nodes (Figure: 3); but without erythema nodosum leprosum (ENL) and neuritis.
The treatment is for 6 months in paucibacillary cases (PBMDT) and 1year (MBMDT) in multibacillary patients.
In 2013, among the new cases number of multibacillary (MB) leprosy was 1380 (43.9%), number of females was 1237 (39.4%), number of children was 166 (5.3%) and number of cases with grade 2 disabilities was 341 (10.8%).6 Although Bangladesh has achieved the leprosy elimination goal by the end of December 1998, 2 year ahead the target set by WHO, leprosy is still not an uncommon disease in Bangladesh and it is endemic in Bandarban, Nilphamari, Khagrachari, Rangamati, Gaibandha, Rangpur, Lalmanirhat, Dianajpur districts and Dhaka and Chittagong Metro.7
By using our approach, 23 new cases were found after we investigated households that had a person positive for anti-PGL-I (15 multibacillary, 8 paucibacillary); we found only 7 new cases in households where residents were negative for anti-PGL-I (4 multibacillary, 3 paucibacillary) (Table).
We read with interest the case report titled "Pseudoathetosis and ataxia--a rare presentation of multibacillary leprosy in a non-endemic area" published recently in your journal.
Treatment was started with prednisolone 40 mg daily with H2 blocker and multibacillary multidrug therapy for adults [MDT MB (A)].
[2] Antigen-antibody complexes are formed during the treatment in multibacillary leprosy and in patients with longstanding untreated disease with high bacillary load due to the death of bacilli; deposition of these complexes in various tissues causes inflammatory response with constitutional symptoms.
According to the microbiological classification, 14 patients had a multibacillary form (positive smear) and 1 patient had a paucibacillary form (negative smear).
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