Leprosy/Hansen Disease: Management of reactions and prevention of disabilities

This document provides updated guidance on how to recognize and address reactions early to avoid irreversible nerve damage. By periodically assessing nerve function, nerve damage can be recognized early on, even before it is clinically manifest. Providing treatment early will prevent further damage and protect the patient from manifesting disabilities. Conducting periodic nerve function assessments is integral to good clinical practice for leprosy. Such services should be available in any facility where leprosy patients are managed.

Prevention is better than cure. By preventing nerve damage from developing into permanent disability, clinicians will enhance the quality of life of leprosy-affected persons. They will also reduce the burden on a country’s health and welfare systems by reducing the need rehabilitative interventions.