Leprosy mastery bytes Flashcards
Chronic disease of the skin and PERIPHERAL NERVES
LEPROSY
LEADING cause of permanent physical disability
among the Communicable Diseases
LEPROSY
LEPROSY OTHER TERM:
Hansen’s disease
LEPROSY Causative Agent
Mycobacterium leprae
Mycobacterium leprae is the causative agent of Leprosy, it is an acid fast, rod-shaped bacillus which can be detected by what test?
Slit Skin Smear (SSS)
Mycobacterium leprae classification?
Bacteria
LEPROSY mode of transmissions
-Direct prolonged skin to skin
-Droplet- coughing, sneezing
LEPROSY EARLY S/SX
C-L-L-U-M-P
Change in skin color
(reddish/white)
Loss of sensation
Loss of sweating
(destruction of
sebaceous glands)
Ulcers that do not heal
Muscle weakness
Painful and reddened eyes
LEPROSY EARLY S/SX
C-L-L-U-M-P
Change in skin color
(reddish/white)
Loss of sensation
Loss of sweating
(destruction of
sebaceous glands)
Ulcers that do not heal
Muscle weakness
Painful and reddened eyes
LEPROSY LATE S/SX
M-L-S-C-C-E
Madarosis (loss of
eyebrows)
Lagophthalmos (inability
to close the eyelids)
Sinking of the nose bridge
Contractures (hardening
of muscles)
Clawing of fingers and toes
Enlargement of breast
(gynecomastia)
2 CLASSIFICATIONS OF LEPROSY
PAUCIBACILLARY & MULTIBACILLARY
PAUCIBACILLARY Incubation period:
1-4 years
MULTIBACILLARY Incubation period:
4-8 years
Classification of Leprosy- Tuberculoid and indeterminate: _____
PAUCIBACILLARY
Classification of Leprosy- Lepromatous and
borderline: _____
MULTIBACILLARY
Classification of Leprosy- Not infectious
PAUCIBACILLARY
Classification of Leprosy- Highly infectious
MULTIBACILLARY
Classification of Leprosy- Few lesions
PAUCIBACILLARY
Classification of Leprosy- More lesions
MULTIBACILLARY
PAUCIBACILLARY: ________ bacilli
MULTIBACILLARY: _____ / ____bacilli
PAUCIBACILLARY: Few bacilli
MULTIBACILLARY: Several / more bacilli
PAUCIBACILLARY: ___months treatment
MULTIBACILLARY: ___ months
treatment
PAUCIBACILLARY: 6-9 months treatment
MULTIBACILLARY: 24-30 months
treatment
Scrape a sample of tissue from the lesion and placed over a slide and reagents and seen under a microscope, what dx procedure?
SLIT SKIN SMEAR is an optional procedure, done only when clinical dx is doubtful
LEPROSY SUSCEPTIBILITY:
LEPROSY SUSCEPTIBILITY: < 12 years old
An Act Further Liberalizing the Treatment of
Leprosy by Amending and Repealing Certain
Sections of the Revised Administrative Code
RA 4073
LEPROSY MEDICAL MANAGEMENT- Domiciliary tx:
Treatment athome
LEPROSY Class: PAUCIBACILLARY
Day 1
Medicine: Rifampicin
ADULT: __ mg
CHILD: __ mg
A: 600 mg
C: 450 mg
LEPROSY Class: PAUCIBACILLARY
Day 2-28
Medicine: Dapsone
ADULT: __ mg
CHILD: __ mg
LEPROSY Class: PAUCIBACILLARY
Day 2-28
Medicine: Dapsone
A: 100 mg daily
C: 50mg
LEPROSY Class: MULTIBACILLARY
Day 1
Medicine: Rifampicin
ADULT: __ mg
CHILD: __ mg
Medicine: Rifampicin
A: 600 mg daily
C: 450 mg
MULTIBACILLARY and PAUCIBACILLARY
Day 1
ADULT meds the same except Clofazimine
Rifampicin: __ mg once a month
Dapsone: __ mg daily
Rifampicin: 600 mg once a month
Dapsone: 100 mg daily
MULTIBACILLARY and PAUCIBACILLARY
Day 1
CHILD meds the same except Clofazimine
Rifampicin: __ mg once a month
Dapsone: __ mg daily
CHILD meds
Rifampicin: 450 mg once a month
Dapsone: 50 mg daily
Day 2-28
Paucibacillary ADULT: _ blister packs w/in _ months
Multibacillary ADULT:_ blister packs w/in _ months
Paucibacillary ADULT: 6 blister packs w/in 9 months
Multibacillary ADULT:12blister packs w/in 18 months
Leprosy PREVENTION
A-B-G-C-A-H
A-B-G-C-A-H
o Avoidance of skin to skin contact with
lepromatous case
o BCG vaccination
o Good personal hygiene
o Children should avoid close contact with active, untreated leprosy case
o Adequate nutrition (Vit C)
o Health education
