01682nas a2200325   4500000000100000008004100001260001300042653001000055653002200065653001900087653001100106653001400117653001000131653001200141653000900153653001300162653001700175653002000192653003400212100001200246700001300258700001500271700001300286245008400299856004100383300001000424490000700434520090100441022001401342       1996                            d  c1996 Dec10aAdult10aFollow-Up Studies10aHIV Infections10aHumans10aIncidence10aIndia10aleprosy10aMale10aNeuritis10aRisk Factors10aSexual Behavior10aSexually Transmitted Diseases1 aJacob M1 aGeorge S1 aPulimood S1 aNathan N00aShort-term follow up of patients with multibacillary leprosy and HIV infection.  uhttp://ila.ilsl.br/pdfs/v64n4a02.pdf  a392-50 v643 a<p>During a period of 9 years, four male patients with HIV and Hansen's disease were detected in Tamil Nadu, South India. The sequence as to which infection came first is not known. All had high-risk sexual behavior with commercial sex workers and a past history of genital ulcer disease. Their spectrum of leprosy was multibacillary. Patient no. 1 had pure neural leprosy of the lepromatous type, which is rare. He also had a single episode of type 1 reaction which did not require steroid therapy. Despite having taken inadequate treatment, patient no. 2 remained clinically and bacteriologically quiescent after 4 years of follow up. He had a low CD4 count of 330 cells/mm3. The third patient completed a full course of multibacillary multidrug therapy, and a year later is clinically and bacteriologically inactive. The fourth patient died of AIDS within 2 months of the dual diagnosis.</p>
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