01134nas a2200265 4500000000100000008004100001260001300042653001000055653001600065653001200081653001500093653002300108653001100131653001800142653001200160653000900172653001100181653001800192653001300210100001300223245003300236300001100269490000700280520058100287 1999 d c1999 Dec10aAdult10aAgriculture10aAnimals10aArmadillos10aDisease Reservoirs10aHumans10aImmunotherapy10aleprosy10aMale10aMexico10aUnited States10aVaccines1 aJohn J A00aHansen's disease--an enigma. a469-710 v523 a

Hansen's disease is an ancient condition that continues to remain endemic in several countries and also in parts of the United States. It has a varied clinical presentation that requires a high index of suspicion for diagnosis. The immune response of the patient is closely related to the presentation of the disease and is being used for immunotherapy and the development of a vaccine. The therapy regimen usually used is as recommended by the World Health Organization but several different regimens are undergoing trials to aid in decreasing the duration of therapy.