(1998; 28 pages)
Treatment of neuritis
Neuritis may occur during lepra reactions or may occur independent of lepra reactions. Neuritis is an acute inflammation of the nerves with nerve pain, local oedema and rapid loss of function. Neuritis may occur before leprosy is diagnosed, during leprosy treatment, or up to several years after leprosy treatment has been completed. All neuritis of less than 6 months duration should be treated with the standard 12 week regimen of oral prednisolone. The usual course of oral prednisolone treatment begins with 40-60 mg daily up to a maximum of 1 mg/kg body weight per day and normally controls the neuritis within a few days. Most neuritis can be treated successfully under field conditions with the standard 12 week oral prednisolone treatment. If patients with neuritis do not respond to corticosteroid therapy, they should be sent to the specialist centre.