What is it about?

Leprosy type 1 reversal and downgrading reactions

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Why is it important?

Both reversal and downgrading reactions are indistinguishable to the clinician without history‐taking and histopathology results

Perspectives

As the reaction can herald the rapid onset of permanent nerve damage, treatment with prednisolone should be instituted at once.

Amr Gohar
Hosary Medical Charity Centre

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This page is a summary of: Borderline lepromatous leprosy with type 1 (downgrading) reaction, Clinical and Experimental Dermatology, November 2013, Wiley,
DOI: 10.1111/ced.12247.
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