Characteristics of Multibacillary
(MB) pole (Consisting of BL, LL and Histoid leprosy)
According to WHO report of 2004 there were 407,791 new cases diagnosed of leprosy.2 It continues to be an important health problem world wide.3 Its prevalence in Pakistan is estimated to be 0.05/10,000, and incidence is estimated as 0.05 and 0.3, respectively.4 The pattern of disease ranges from tuberculoid (paucibacillary) characterized by relatively few (not more than 5) skin lesions with marked cell mediated response to lepromatous (multibacillary
) form which exhibits multiple lesions and little cell mediated immunity to M.
Based on the IAL classification they were categorized as paucibacillary when there is single peripheral nerve involvement with skin lesions < 5 and multibacillary
when lesions are >5 in number with > 1 nerve affected.
Overall prevalence of reaction was much higher in multibacillary
in relation to paucibacillary patients, which is similar to that reported by Teixeira et al.20
(6) 68.42% patients had multibacillary
form of leprosy.
Although we encounter type 2 lepra reactions after initiating the multibacillary
leprosy patients on MDT-MB, cases of ENL presenting with extensive cutaneous ulcerations are a very rare entity.
Six participants (22.2%) had the paucibacillary classification of leprosy and 21 (77.8%) had multibacillary
leprosy is marked by 6 or more lesions with possible visualization of bacilli on smear disseminated and minimally hypopigmented.
The patient has been put on multibacillary
multi drug therapy and is on regular follow up.
Of 29 Micronesian patients, 22 (76%) had multibacillary
HD, 5 were female, and 3 were children.
Sensitivity and specificity of nerve palpation, monofilament testing and voluntary muscle testing in detecting peripheral nerve abnormality using nerve conduction velocity as gold standard: A study in 400 untreated multibacillary
In polar lepromatous (LL) disease, with a limited immunity against the organism, dermal lesions are more in number and there are a lot of organisms (multibacillary