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Tests to detect Hansen's disease - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Infections
Answered by

General & Family Physician
Practicing since : 2009
Answered : 663 Questions
User :   Sir,
I am XXX from XXX, XXX, XXX. I have been numbness in my right leg for the past two years ( for the past 15 years slight difference in sensation) and one of my doctors suspected( but he could not confirm) that I might have been affected by Hansen's disease. So I was asked to take treatment for one year time (MDT) whether it is Hansen's disease or not. Now numbness is increasing and spreading to surrounding areas particularly to my small fingure and upper skin areas. Now I am very much confused which specialist I have to meet. Please suggest me what to do.
Anticipating your reply,
XXX
Doctor :   hello
Doctor :   i am Dr XXX here
Doctor :   let me read your query
User :   HELLO DOCTOR HERE BELOW I GIVE DEATAILS OF MY PROBLEM
User :   Sir, I am XXX from XXX XXX. I have been numbness in my right leg for the past two years ( for the past 15 years slight difference in sensation) and one of my doctors suspected( but he could not confirm) that I might have been affected by Hansen's disease. So I was asked to take treatment for one year time (MDT) whether it is Hansen's disease or not. Now numbness is increasing and spreading to surrounding areas particularly to my small fingure and upper skin areas. Now I am very much confused which specialist I have to meet. Please suggest me what to do.
Doctor :   ok
User :   hello doctor are you there?
Doctor :   may i know your age please?
User :   41
Doctor :   yes i am here i was reading your query to help you better
Doctor :   so the sensation has been increasing now ?
User :   sensation problem is increasing
User :   sensation is decreasing
Doctor :   since how many month have you noticed this problem with loss of sensation ?
User :   two years back i met an neurologist
Doctor :   ok
User :   he took many tests
Doctor :   how long were you taking the medications for
Doctor :   ?
User :   but he did not identify any thing
User :   he suggested nothing is upnormal
Doctor :   have you noticed any colour changes in your skin?
User :   no colour change
User :   normal
User :   normal skin
User :   normal swetting
User :   needle test negative
Doctor :   did the test confirmed you have hansen's disease?
User :   no
User :   he just suspect
User :   that i might have the problem
Doctor :   there is a diagnostic test for it
User :   i took all the tests mri, and other scans
Doctor :   it is diagnosed by taking a skin sample (biopsy) and examining it under the microscope
User :   everything is normal as per the statement of neurologist
Doctor :   Another test used for diagnosis is a skin smear. A small cut is made in the skin and a small amount of tissue fluid is taken.
Doctor :   were these diagnotic tests were done?
User :   the doctor said while taking biopsy the problem may increase
User :   whether i am having hansen's or not
Doctor :   ok
User :   so i did not take that biopsy test only
User :   now for the past one week the problem is increasing
Doctor :   i would advise you to get a skin test done as it will confirm it
User :   i am taking mdt
User :   i took mdt for six months before one year
Doctor :   and based on the results of the test you can be given proper medications
User :   for six months time
User :   there is no improvement by mdt
User :   and the problem is increasing
Doctor :   the treatment medicines are given least six to 12 months or more
Doctor :   Each patient, depending on the above criteria, has a schedule for their individual treatment
User :   my doctor did not confirm hansen's
Doctor :   you need to first get the skin test done that is important... as it will confirm it
User :   he suggested as a trial let me take mdt
User :   i took smear test it was negative
Doctor :   i will suggest you to get the skin test done so tht we can be sure if you are suffering from hansen's disease or not
Doctor :   as it is a confirmatory test
User :   please suggest me a best doctor or hostpital around me
Doctor :   ok i will
Doctor :   you can go to XXX hospital
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