Effect of prophylactic corticosteroids on the incidence of reactions in newly diagnosed multibacillary leprosy patients [5]

To the editor:
Leprosy reactions, including reversal re-actions and episodes of neuritis, are known to occur in leprosy patients most frequently in the first few months after starting multidrug therapy (MDT), especially in cases with multibacillary (MB) disease. Such reactions can lead to impairment of nerve function, and subsequent deformity and disability. That this can occur in leprosy patients who present without any nerve function impairment (NFI) at diagnosis is a discouraging phenomenon for both the patient and the doctor or health worker.
It is an axiom of modern leprosy controlthat early case detection and treatment with MDT can prevent much NFI by halting the multiplication of the leprosy bacillus, and that this is the single most important activity in the prevention of NFI. [...]