1. Reactions of Leprosy
  2. Eye Complications
  3. Mutilations

 

Reactions of Leprosy

Leprosy reactions come up during the process of the chronic disease and show a sudden change of immunity.

Characteristic for Type I:
Occurrence with BB and BL Leprosy, increasing (zellvermittelt) immune response. Exacerbations of skin transformation, ulceration and neuritis, occurrence within the first 6 – 12 months following the beginning of a chemotherapy.

Characteristic for reactions of leprosy Type II:
Occurrence with LL Leprosy, during the second term following the beginning of chemotherapy, classic „leprous fever“, complex immune affection, picture of erythema nodosum leprosum classic picture of Erythema nodosum leprosum and skin rash as well as affection of nerves and organs.

 

Eye Complications

 
Augenkomplikationen
Eye Complications

These complications refer to:

  • Transformations that do not affect the eye sight, e.g. Madarosis
  • Transformations that endanger the eye sight, e.g. Facialisparese, Iritis, Iris atrophie.



 

Mutilations

These are secondary transformations resulting from the destruction of sensible fibre which then leads to a dysfunction of the sensibility. The tactile sense, sensation of cold, warm and sense of pain disappear up to a complete anaesthesia. The destruction of autonomous fibre causes a blocked flow of perspiration and suet. As a result, the skin becomes dry and rhagades appear, which then are a fertile medium for secondary infections. Even minor injuries lead to abscess, necrosis, which can cause the loss of affected finger or toe. This process then affects the tendon sheath, joints and bone tissue. The patient becomes increasingly mutilated.

 

Verstümmelungen, Gesichtsveränderungen
Mutilation and changes in facial features
Verstümmelung der Finger, Gesichtsveränderungen
Mutilation of hands and changes in facial features