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leprosy reactions

episode in a chronic disease of leprosy which is an immune response (cellular

response) or Ag-Ab reaction (humora) that damage the peripheral nerves

characterized by an acute inflammation of the skin / edge. can occur before,during, and after therapy.

cause

-weak condition

-!regnancy / postpartum

-immunization

-Acute malaria infection

-!hysical and mental stress

-malnutrition

" kind of reaction

#. type $ (reversal reaction, upgrading, bendeling)

in the first % months of treatment

the role of lymphocytes and !&'

due to the cellular response

%-# weeks

inflammation " red swelling

! / &

given *+ analgetik 

symptom &ild reactions evere reactions

kin complaints alutif, thick, red, hot,

tender, macular and

 plaue

swelling, rupture, heat,

tenderness, no new

complaints, oint pain

 peripheral nerve tenderness -, nerve and

impaired function -

tenderness and impaired

function (musclecomplaint)

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if there is no reaction and skin complaints near the location of the nerve,

severe reactions categorized

when neuritis, given the systemic kortikosferoid

. +ype $$ 0'1 (0rytheme 'odusum 1eprosum)

in the & (humoral response)

imunocomple2 (A3-Ab 4 complemen) (hypersensitivity $$$)

lasted 5 weeks / more

fever, nausea, vomiting

use * analgesic with antipyretic

!rednisone 67 mg " every weeks (8 tab, % tabs, tab 6)

ymptom &ild reactions evere reactions

#. skin complaints nodules, red, tenderness,

lost themselves -5 days

nodules, tenderness,

ulcerative, long lost

. general state no fever mild 9 severe fever  

5. peripheral nerves no pain / impairedfunction

:eel pain and impairedfunction

6. organs no interference inflammation

iridosi klitis

epididimor kitis

lymphadenitis

nephritis

arthritis

tht disorders

;ifferences between type $ $$

ymptom +ype $ +ype $$

inflammation of the skin patches of old skin

 becomes more inflamed

4 new patches

red nodules, soft,

tenderness in the hands

and legs, ulceration

3eneral state well, subfebris, fever - mild, severe, weakness,

fever 4

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nerve tenderness nerve -,

impaired function

can occur 

other organ inflammation almost none the eyes, kidneys, oints,

etc.

!eriod of arises immediately aftertreatment

after treatment

leprosy disability as a result of nerve impaired function in the eye /

hand / legs

disability process

directly infiltrates &. leprae to peripheral nerves and organs throughleprosy reactions

defects caused by nerve damage

araf :unctions

&otor ensory Autonomous

:acialis 1agosftalmus dryness

fingers weak 6-> fingers numb decay&edianus #-5 fingers

 paralyzed

#-5 fingers numb sweat and

sebaceous glands

!erineus 1egs paralyzed numb

+ibialis posterior !inkie finger legs

disability level of ?@

" if the eyes, hands, feet remain complete and healthy

# " disability hands and legs are not visible " neural damage, visible disability (ulcers, wounds, fingers kiting, limp,

shortening, the eye do not close, the wound of the cornea)

;isability prevention and early treatment

0arly discovery before disability

early detection of leprosy reactions

use tools

handle the infection

&;+

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medical rehab

the !revention principle of increase in disability 5&

 protect the eyes and legs from trauma

e2amining the eyes, hands, legs

0arly treatment