Drug therapy of leprosy

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Abstract

Leprosy (Hansen’s disease) is a chronic granulomatous bacterial infection mainly affecting the skin and peripheral nervous system yet also involving other organs and systems as a result of a pathological process. The causative agent of leprosy - Mycobacterium leprae - is an obligate intracellular microorganism. Despite the removal of a threat of a leprosy epidemic, European countries still record outbreaks of the disease mainly among migrants coming from endemic areas. A golden standard of the treatment of leprosy is a WHO-recommended combined drug therapy comprising drugs such as dapsone, clofazimine and rifampicin. The article provides current data on the mechanisms of action, efficacy and safety of these drugs and their combined scheme of treatment obtained as a result of clinical trials. Moreover, it also reviews new regimens of the drug therapy of leprosy including those with the use of drugs from the group of fluoroquinols as well as immunotherapy of the disease.

About the authors

A. A. Kubanov

ФГБУ «Государственный научный центр дерматовенерологии и косметологии» Минздрава России; ГБОУ ДПО «Российская медицинская академия последипломного образования» Минздрава России

Author for correspondence.
Email: noemail@neicon.ru
Russian Federation

A. E. Karamova

ФГБУ «Государственный научный центр дерматовенерологии и косметологии» Минздрава России

Email: karamova@cnikvi.ru
Russian Federation

A. A. Vorontsova

ФГБУ «Государственный научный центр дерматовенерологии и косметологии» Минздрава России

Email: noemail@neicon.ru
Russian Federation

P. A. Kalinina

ГБОУ ДПО «Российская медицинская академия последипломного образования» Минздрава России

Email: noemail@neicon.ru
Russian Federation

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