Contribui？？o ao diagnóstico e manejo dos estados reacionais: Uma abordagem prática

the early clinical recognition of reactional states brings great benefits to leprosy patients due to the possibility of appropriate and immediate therapeutic intervention, thus avoiding the development of disabilities that so much stigmatize and complicate the disease. there are three types of reactional episodes: types 1, 2 and neuritis. the latter may occur alone or together with the former forms. in some cases only neurological and/or skin manifestations are observed in the reactions; in others, patients present systemic alterations. the treatment with an association of immunosuppressors and anti-inflammatory drugs seems to be the most effective to avoid recurrences and side effects