01789nas a2200193   4500000000100000008004100001260004400042653002000086653002600106653001200132653002100144653001200165100001200177245009000189856008700279300000800366520120700374022001401581       2024                            d  bSpringer Science and Business Media LLC10alepra reactions10acompression stockings10asteroid10ahensen's disease10aleprosy1 aAhmed G00aPressure Stockings for Edematous Feet in the Lepra Reaction: An Inexpensive Patronage  uhttps://assets.cureus.com/uploads/case_report/pdf/250429/20240424-12204-sp0ja8.pdf  a1-33 a<p>Leprosy has been known for its wide range of peripheral nerve and tissue involvement and causing disabilities. Early diagnosis and treatment with multi-drug therapy can save lives and limbs and prevent disabilities. However, management and drug therapy are usually lengthy and full of ups and downs of side effects. Further, the lepra reaction is frequently noted during management, requiring immunosuppression and leading to associated side effects. Limb edema per se due to leprosy is unusual and mostly a symptom of a reactional state. There is no specific management for edema in such cases, and it subsides with improving reactionary states. Nevertheless, the edema may be persistent and bothersome. The present report highlights one such unusual case in a 40-year-old man, diagnosed with borderline-tuberculoid leprosy and experiencing a type-1 reaction. Owing to ocular complications, steroid therapy for the reaction was tapered abruptly, and his limb edema did not subside with the improving lepra reaction. Compression stockings helped to manage edema. This case also makes us ponder the possible use of compression stockings as an opioid-sparing aid in lepra reaction-related edema.</p>
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