LEPROSY

Question 1

Leprosy is also known as

Answer 1

Hansen’s disease

Question 2

Chronic disease of the skin and peripheral nerves

Answer 2

Leprosy

Question 3

Causative agent of leprosy

Answer 3

Mycobacterium leprae
(Bacterial)

Question 4

Mode of transmission

Answer 4

Droplet & Direct contact

Question 5

Early s/sx of leprosy
CLLUMP

Answer 5

Change in skin color
Loss of sensation
Loss of sweat (destroyed sebaceous gland)
Ulcers that do not heal
Muscle weakness
Pain or reddened eyes

Question 6

Late s/sx of leprosy
MSCCLE

Answer 6

Madarosis (loss of eyebrows)
Sinking of nose bridge
Clawing of fingers and toes
Contractures
Lagopthalmos (inability to close eyelids)
Enlargement of breast (gynecomastia)

Question 7

Classification of leprosy
Paucibacillary

Answer 7

• indeterminate & tuberculoid
• small/few bacilli
• incubation period: 1-4 yrs
• not infectious
• few lesions
• few bacilli
• 6-9 mos. Treatment

Question 8

Classification of leprosy
Multibacillary

Answer 8

• lepromatous & borderline
• more bacilli
• incubation period: 4-8 yrs
• highly infectious
• more lesions
• several/more bacilli
• 24-30 months treatment

Question 9

Diagnostic test for leprosy

Answer 9

Slit skin smear (scrape then reactive agent)

Question 10

Medical Management for leprosy

Answer 10

• Domiciliary treatment: treated at home instead of going to sanitary room in Palawan
• RA: 4073

Question 11

Tx for leprosy: Paucibacillary (Adult)

Answer 11

Day 1
Ø RIFAMPICIN 600mg (once a month)
Ø DAPSONE 100mg (daily)

Day 2-28
Ø DAPSONE 100mg (DAILY)
Ø 6 blister packs to be taken monthly within a maximum period of 9 months

Question 12

Tx for leprosy: Multibacillary (Adult)

Answer 12

Day 1
* RIFAMPICIN 600mg (once a month)
* CLOFAZIMINE 300mg (once a month)
* DAPSONE 100mg daily

Day 2-28
* CLOFAZIMINE 50mg and DAPSONE 100mg
12 blister packs to be taken monthly within a maximum period of 18 months

Question 13

Tx for leprosy: Paucibacillary (Child)

Answer 13

Day 1
RIFAMPICIN 450mg and
DAPSONE 50mg

Day 2-28
DAPSONE 50mg

Question 14

Tx for leprosy: MULTIBACILLARY (CHILD)

Answer 14

Day 1
* RIFAMPICIN 450mg
* CLOFAZIMINE 150 MG
* DAPSONE 50mg

Day 2-28
* CLOFAZIMINE 50mg EVERY OTHER DAY and
DAPSONE 50mg

Question 15

Leprosy PREVENTION

Answer 15

• AVOIDANCE OF SKIN TO SKIN CONTACT WITH LEPROMATOUS CASE
• BCG VACCINATION
• GOOD PERSONAL HYGIENE
• ADEQUATE NUTRITION (Vit. C rich foods and fluids)

*1 dose of Rifampicin in Caloocan & San Lazaro Hospital