01609nas a2200289   4500000000100000008004100001260001200042653002500054653001600079653001500095653001200110653002200122653001200144653001200156653001000168653001000178653001500188653001800203653002000221100001900241700002100260245007900281300001200360490000700372520092600379022001401305       2022                            d  c06/202210aMycobacterium leprae10aDebridement10aDiagnostic10aleprosy10aNeuropathic ulcer10aplantar10aTherapy10aUlcer10awound10aWound care10aWound Healing10aWound Infection1 aSerrano-Coll H1 aCardona-Castro N00aNeuropathic ulcers in leprosy: clinical features, diagnosis and treatment.  aS32-S400 v313 a<p>Leprosy is a neglected disease caused by and s, and is related to significant disabilities resulting from the neural damage generated by this mycobacteria. Neuropathic ulcers-lesions that can appear at the plantar and extra-plantar levels-are one such disability, and diagnosis requires an adequate dermatological, neurological and microbiological evaluation. The treatment of these lesions is based on a multidisciplinary approach that includes debridement of the necrotic tissue, controlling infections, reducing pressure areas, optimising blood flow, and nerve decompression. This review aims to describe the clinical features, diagnostic methods and treatment of neuropathic ulcers in leprosy. The diagnostic methods and medical management used in leprosy ulcers are based on those used for diabetic foot. This requires radical change as these diseases are immunologically and physiologically very different.</p>
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