Leprosy Flashcards
what is leprosy
attacks schwan cells- attacks layers of spinal cord or brain
what happens when the layer of spinal cord or brain attacked?
preipheral damage causes loss of sensation
domiciliary treatment for leprocy
Ra 4073
chronic disease of the skin and peripheral nerves
leprosy
other name of leprosy
hansen’s disease
causative agent of leprosy
mycobacterium leprae and mycobacterium lepromatis
mode of transmission of leprosy
droplet
prolonged skin to skin contact
early s/sx of leprosy (CLLUMP)
change in skin color ( reddish or whitish)
loss of sensation
loss of sweating
ulcers - do not heal
muscle weakness
painful and reddened eyes
late s/sx of leprosy
madarosis
lagopthalmos
sinking of nosebridge
clawing of fingers and toes
contractures
enlargement of the breast
loss of eyebrow
madarosis
inability to close eyelids
lagopthalmos
hardening of the muscles
contractures
enlargement of breast
gynecomastia
classifications of leprosy
paucibacillary
multibacillary
other names for paucibacillary
tuberculoid
indeterminate
other names for multibacillary
lepromatous
borderline
incubation of paucibillary and multibacillary
paucibacillary: 1-4 years
multibacillary: 4-8 years
discuss paucibacillary
non infectious
few lesions/bacteria or bacilli
6-9 months tx
discuss multibacillary
highly infectious
several lesions/bacteria (bacilli)
24-30 months tx
diagnostic test for leprosy
slit skin smear
classification of leprosy
bacteria gram +
procedure for sss
scrape a tissue or lesion
place it on a glass slide
add/mix reagents
view under microscope
medical management for paucibacillary (adult)
DAY 1
rifampicin 600mg (once a month)
diapsone 100 mg (daily)
medical management for paucibacillary (adult)
DAY 2-28
dapsone 100mg (daily)
6 blister packs to be taken monthly within a maximum period of 9 months
medical management for multibacillary (adult)
DAY 1
rifampicin 600mg once a month
dapsone 100mg daily
clofazimine 300mg once a month
medical management for multibacillary (adult)
DAY 2-28
dapsone 100mg
clofazimine 50mg
12 blister packs to be taken monthly within a maximum period of 18 months
medical management for paucibacillary (child)
DAY 1
rifampicin 450mg
dapsone 50mg
medical management for paucibacillary (child)
DAY 2-28
dapsone 50mg
medical management for multibacillary (child)
DAY 1
rifampicin 450mg
dapsone 50mg
clofazimine 150mg
medical management for multibacillary (child)
DAY 2-28
dapsone 50mg
clofazimine 50mg every other day
prevention for leprosy
single dose of RIFAMPICIN given to 2y/o and above
BCG vaxx kase same sila ng family
