Treatment for Leprosy

Leprosy Information

Treating Leprosy With Supportive Care

Supportive care does not affect the progression of leprosy, but it can help reduce symptoms and minimize complications. It is important to note that many of the deformities and disabilities associated with this disease are preventable. Supportive care includes consultation and treatment from:

Orthopedic surgeons (bone doctors)
Eye doctors
Physical therapists.

Examples of treatment for leprosy-associated complications can include:

Specialized footwear
Casts
Reconstructive surgery.

Reactions to Treatment for Leprosy

Some people experience certain reactions after leprosy treatment has begun. These reactions:

Can also occur in untreated patients, although this is less common
Are 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 needed. More severe reactions can be harmful to nerves and should be promptly treated by a physician. Corticosteroid medicines may be used to counteract a reaction, such as:

Prednisone
Thalidomide
Other potent anti-inflammatory medicines.

Prognosis After Treatment for Leprosy

After successful treatment, people are generally considered free of active infection. A number of symptoms can improve with treatment, such as skin lesions. Other complications, such as nerve damage, may improve very little. 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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