01135nas a2200145   4500000000100000008004100001260002200042653002400064653005700088100001300145700001300158245011400171520067900285022002500964       2023                            d  bSAGE Publications10aInfectious Diseases10aPublic Health, Environmental and Occupational Health1 aSagar HK1 aPawar HS00aChronic type 2 reaction in lepromatous leprosy with underlying Plasmodium falciparum infection: A case report3 a<p>Tropical diseases prevalent in leprosy-endemic areas may alter the immunological patient response and also complicate the presentation of leprosy reactional episodes. The introduction of anti-malarial drugs in our case produced a subsidence of reaction. With dwindling manpower skilled in leprosy, the reactional episodes are very often treated with non-steroidal anti-inflammatory drugs, steroids and thalidomide, neglecting the possibility of other co-existing infections, tropical or other. Our case emphasises the importance of history, examination and balanced investigation in the context of tropical diseases in endemic areas before injudicious intervention.</p>
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