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Complications and Prognosis
Screening and Prevention
Most patients require only outpatient therapy
Hospital admission may be necessary for management of severe type 1 or 2 reactions (erythema nodosum leprosum) or Lucio phenomenon
Leprosy is a curable disease and early treatment may prevent some disabling effects of disease. Late treatment may allow disease progression r10
Treatment of leprosy is not the same as treatment of other skin conditions, so accurate diagnosis is essential
In the United States, report disease to state public health agency, CDC, and National Hansen's Disease Program r17
First line treatment is multidrug therapy for all patients diagnosed with leprosy
Second line agents may be incorporated into a multidrug regimen under the direction of a leprosy treatment specialist when first line agents are contraindicated or not tolerated
Leprosy reactions may require use of corticosteroids or other immune modulators; continue multidrug therapy for leprosy during treatment of reactions r14
Patients with loss of corneal reflex
Patient education and prevention of disability associated with nerve damage are other important aspects of treatment r7
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