Treatment of severe ulnar neuritis in borderline tuberculoid leprosy is -: (A) MDT only, (B) MDT + Steroids, (C) Wait and Watch, (D) MDT+ thalidomide
Answer is B. Severe ulnar neuritis in borderline tberculoid leprosy indicates patient is in type1 leprosy reaction. moderate to severe type 1 reaction, neuritis, impending muscle paralysis, type 1 reaction involving facial lesions drug of choice is coicosteroids along with mbmdt. iadvl textbook of dermatology,page 2089