Leprosy in pregnancy

Abstract

Pregnancy has long been associated with the first presentation of clinical leprosy or aggravation of the existing disease (1). Women with leprosy (even those who are apparently cured) run a serious risk of deterioration in nerve function during pregnancy. Pregnancy and lactation is associated with relapse, reactivation and transient exacerbation of the disease pattern. 50% of pregnant woment with leprosy will be affected by 'silent neuritis' associated with new motor and sensory loss and stocking and glove anaesthesia even in those who are on treatment or have completed therapy (2). Those incubating the infection develop overt disease when associated with pregnancy. Thus, all women in the reproductive age group, especially during pregnancy and lactation must be given the highest standard of clinical supervision of leprosy, even after completion of multiple drug treatment.