Treatment of severe ulnar neuritis in borderline tuberculoid leprosy is which of the following?: (A) MDT only, (B) MDT +steroid, (C) Wait and watch, (D) MDT + thalidomide
Answer is B. Borderline tuberculoid leprosy patients may experience both type 1 ant type 2 lepra reactions. If there is nerve involvement in type 1 lepra reaction, coicosteroids are added to the Multi drug treatment regimen. Ref: Textbook of Dermatology, Venereology and Leprology, Devinder Mohan Thappa, 2nd Edition, Page 326 & 332; Handbook of leprosy by Jopling & Mc Dougall 5,th /127, 123; Current treatment options in Neurology 2002, / 189- 196.