02297nas a2200325   4500000000100000008004100001260001300042653002400055653002800079653003800107653001100145653002500156653001200181653002400193653002500217653003200242653002000274100001200294700001500306700001400321700001500335700001700350245007700367856005900444300001100503490000700514050003200521520140400553022001401957       1994                            d  c1994 Sep10aAntigens, Bacterial10aDiagnosis, Differential10aEnzyme-Linked Immunosorbent Assay10aHumans10aImmunohistochemistry10aleprosy10aLeprosy, Borderline10aMycobacterium leprae10aSensitivity and Specificity10aSerologic Tests1 aSekar B1 aSharma R N1 aAnandan D1 aVasanthi B1 aJayasheela M00aIndeterminate leprosy: a seroimmunological and histochemical evaluation.  uhttp://leprev.ilsl.br/pdfs/1994/v65n3/pdf/v65n3a03.pdf  a167-740 v65  aInfolep Library - available3 a<p>An effort was made to differentiate indeterminate (IND) leprosy from other types of the paucibacillary (PB) group of leprosy and to identify among indeterminate leprosy cases those which may evolve to multibacillary (MB) leprosy, using serological, immunological and histochemical parameters. A total of 92 untreated, histologically classified (TT-19, BT-30, IND-32) patients, including 11 cases diagnosed as nonspecific dermatitis (NSD), which were clinically strongly suspected to be leprotic, were screened for antibodies against PGL-I, 35-kDa and LAM antigens. Lepromin tests and antigen demonstration in tissue by indirect immunoperoxidase staining were also carried out. Though a qualitative analysis did not differentiate, a quantitative analysis in terms of a cumulative index (CI) showed a higher antibody level amongst the indeterminate group of patients than the other groups included in PB leprosy. Also, the lepromin negative indeterminate group patients showed a higher CI than the lepromin positive cases, indicating that perhaps these may be the cases which may develop into MB leprosy. Thus, the semiquantification of antibody levels in the form of a CI may be a useful parameter to predict the possible evolution of a given case of indeterminate leprosy. Interestingly 64% of NSD cases had either antigen or antibody which indicated that they were probably cases of leprosy.</p>  a0305-7518