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Overview Hansen’s Disease

Overview Hansen’s Disease. Hansen’s Disease Community Program. What is Hansen’s Disease?. Bacterial infection: Mycobacterium Leprae Skin and Peripheral Nerves Complications: Loss of Sensation, Secondary Infections, Loss of Motor Function, Eye Damage. Hansen’s Disease Bacilli.

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Overview Hansen’s Disease

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  1. OverviewHansen’s Disease Hansen’s Disease Community Program

  2. What is Hansen’s Disease? Bacterial infection: Mycobacterium Leprae Skin and Peripheral Nerves Complications: Loss of Sensation, Secondary Infections, Loss of Motor Function, Eye Damage

  3. Hansen’s Disease Bacilli

  4. How is Hansen’s disease transmitted? 95% of the population has NATURAL IMMUNITY against M. Leprae Depends on the degree of contact, type of Hansen’s disease, contact’s immunity, and index’s time without medication. Prolonged daily exposure to untreated HD is the highest risk. (Household) Route of Transmission: Nasal membranes of multibacillary patient, Cutaneous (rare) open HD lesions.

  5. How is Hansen’s Disease treated? • Multi-drug therapy • Dapsone • Rifampin • Clofazimine • Other antibiotics • Medications are free to patients • Length of Treatment varies: 6-24 months • No need for isolation or institutionalization

  6. What are the signs and symptoms of Hansen’s disease? • Reddish or pale/hypopigmented skin lesions which usually do not itch and may be insensitive or anesthetic. • Nodular infiltration and thickening of the skin, especially on the face, earlobes, arms, and legs. • Tender, enlarged nerves, usually in an arm or leg, and sometimes on the lateral neck.

  7. What are the signs and symptoms? (contd.) • Paresthesia (tingling) and/or numbness of the fingers or toes, or late sign weakness of arms, hands, legs, or feet • Painful lesions (if undiagnosed person is already into reactional state)

  8. Tuberculoid Lesion

  9. Tuberculoid Lesion of the Arm

  10. Borderline Tuberculoid

  11. Borderline Tuberculoid

  12. Borderline Borderline

  13. Borderline Lepromatous

  14. Lepromatous

  15. Type 1 Reaction

  16. Type 2 Reactions/ENL

  17. Hand Complications of HD

  18. Foot Complications of HD

  19. If you note any symptoms on new students: Symptoms mentioned Lived in high endemic area Worsening rash despite other treatments Changes in sensation or peripheral nerve symptoms not due to any other cause Known to be in close contact with a case before treatment started PROVIDER CONSIDER 4 MM PUNCH BIOPSY AND CALL HDCP

  20. Thank you for your interest in Hansen’s disease.Please call us at (808) 733-9831for more information or if you have any questions or possible referrals

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