HomeAnswersDermatologyleprosyCan leprosy spread within a family?

Will leprosy spread within a family?

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Answered by

Dr. Suvash Sahu

Medically reviewed by

iCliniq medical review team

Published At June 14, 2016
Reviewed AtJuly 3, 2023

Patient's Query

Hi doctor,

Our close family member has leprosy. Should we need to take MDT? Please explain.

Answered by Dr. Suvash Sahu

Hi,

Welcome to icliniq.com.

I want to share few facts about leprosy. Leprosyis contagious, because Mycobacterium leprae is transmitted from one person to another by droplet infection through nasal or respiratory mucosa or by direct contact in susceptible persons. All persons exposed to this disease do not develop it. Specific deficiency in the cell-mediated immunity of the host towards the Mycobacterium leprae plays an important role in acquiring this infection. Overcrowding, poor hygiene and inadequate housing favor the transmission of the disease by causing more intimate contact. If your family member has BL (borderline lepromatous leprosy) or LL (lepromatous leprosy) type of leprosy, then chances of getting leprosy by contact are much higher than TT (tuberculoid leprosy) or BT type (borderline tuberculoid leprosy). You should get slit skin smears for AFB - acid fast bacilli. Also check for the signs below.

  1. Hypoesthetic skin lesions (numb patch).
  2. Thickened peripheral nerves - cord like painful structure of your limb.
  3. Demonstration of AFB.

If any two of the above or a positive histopathological picture confirms the diagnosis, then you should start multidrug therapy.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Suvash Sahu
Dr. Suvash Sahu

Dermatology

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