Supportive care does not affect the progression of leprosy, but it does help reduce symptoms and minimize complications. It is important to note that many of the deformities and disabilities associated with leprosy are preventable. Supportive care that is used as leprosy treatment includes consultation and treatment from:
Orthopedic surgeons (bone doctors)
Eye doctors
Physical therapists.
Examples of treatment for leprosy complications include:
Specialized footwear
Casts
Reconstructive surgery.
Reactions to Leprosy Treatment
Some patients experience what is called a reaction after leprosy treatment has begun. This reaction:
Can also occur in untreated leprosy patients, although it is less common
Is a response of the immune system to dead or dying bacteria
Can cause the leprosy rash to become worse
Can cause fever, swollen lymph nodes, and joint pain
Can cause painful inflammation of nerves (neuritis), which can affect sensation and/or strength.
Reactions can be mild or severe. If mild, no treatment, or only over-the-counter anti-inflammatory medication, may be sufficient. More severe reactions can be harmful to nerves and should be promptly treated by a physician. Treatment for leprosy reactions can involve a corticosteroid medicine, such as:
After successful treatment, people with leprosy are considered free of active infection. A number of leprosy symptoms can improve with treatment, such as skin lesions. Other symptoms or complications, such as nerve damage, may improve very little with treatment. Worldwide, there are an estimated 2 to 3 million cases of people who have completed leprosy treatment but still have residual disabilities.
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