@article{22337, keywords = {Adult, Aged, Early Diagnosis, Humans, Leprostatic Agents, Leprosy, Borderline, Male, Recurrence, Skin, Skin Diseases, Bacterial}, author = {Brandão MLFB and Lima CMO and Piñeiro-Maceira J and Miranda A and Oliveira LM W}, title = {Early diagnosis of relapse in borderline leprosy: two case reports.}, abstract = {

Two cases of relapse in borderline leprosy were reported. Despite the late-reversal, reaction-like feature, the suspicion of relapse in both was based on persistent and slow-developing skin lesions and an absence of acute neuritis or reaction during one year of follow-up. The authors have considered this possible occurrence in lepromatous borderline-treated patients after their immune cellular restoration and defend that not all Type 1 reactions would be an inflammatory answer to persistent Mycobacterium leprae, but that they could be. Therefore, a relapse diagnosis could be applied and it is more advisable, as one year of Multi-Drug Therapy (MDT) is less dangerous and more efficient for these cases than one year of corticosteroids.

}, year = {2011}, journal = {Revista do Instituto de Medicina Tropical de Sao Paulo}, volume = {53}, pages = {341-3}, month = {2011 Nov-Dec}, publisher = {Scielo}, address = {Sao Paulo}, issn = {1678-9946}, url = {http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0036-46652011000600008&lng=en&nrm=iso&tlng=en}, doi = {10.1590/s0036-46652011000600008}, language = {eng}, }