Management of Large Facial Patch With Recurring Reversal Reaction: A Case Report

Authors

  • Delwar Hossain Professor of Dermatology & Venereology (Retired), University of Science & Technology, Chittagong (USTC), Bangladesh
  • Rezina Yasmin Lecturer of Community Medicine, Sir Salimullah Medical College, Dhaka, Bangladesh
  • Alvin Saha Associate Professor of Dermatology & Venereology, BGC Trust Medical College, Chittagong, Bangladesh

DOI:

https://doi.org/10.3329/jcmcta.v25i2.61756

Keywords:

Leprosy; Reversal Reaction; Reacting Facial Patch; Management; Tacrolimus and Prednisolone

Abstract

Inflamed large facial patch, being compromising the appearance and beauty of a patient, is a source of embarrassment and distress, and affects anti-leprosy drive adversely in many ways in the field situation. Its management with oral prednisolone alone, the mainstay of treatment for reversal reaction, proved disappointing. To see whether topical tacrolimus will be helpful in managing those patients. We treated a patient with recurring reversal reaction in large facial patch with tacrolimus 0.1% ointment, twice daily and lower dose oral prednisolone for twelve months during March, 2012-February, 2013. Complete remission was achieved No side effects of whatsoever was seen. No recurrence of reaction is seen till to date. Tacrolimus ointment and lower dose prednisolone was found helpful in managing patient with recurring reversal reaction in large facial patch.

JCMCTA 2014 ; 25 (2) : 65-68

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Published

2014-11-02

How to Cite

Hossain, D. ., Yasmin, R. ., & Saha, A. . (2014). Management of Large Facial Patch With Recurring Reversal Reaction: A Case Report. Journal of Chittagong Medical College Teachers’ Association, 25(2), 65–68. https://doi.org/10.3329/jcmcta.v25i2.61756

Issue

Vol. 25 No. 2 (2014)

Section

Case Reports