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Á¦¸ñ Immunotherapy Using a Mixture of Heat-Killed M. Leprae and Live BCG for Active Lepromatous Leprosy Patients
ÀúÀÚ Do Il Kim, Hae Young Lee ¼Ò¼Ó Institute for Leprosy Research Korean Leprosy Association
³âµµ 1984 ±Ç 17
È£ 1 ¹øÈ£
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¿ä¾à Eleven patients with active lepromatous leprosy were observed before and after
immunotherapy with a mixture of heat-killed M. leprae and live BCG has been given
once in two months. The vaccine we use contains 1¡¿108 bacilli of M.
leprae from nodules of lepromatous Patients and killed in the autoclave at 120¡É during
15 minutes, Plus viable BCG in a 0.02mg dose, the vaccine is applied intradermally in 2
sites at deltoid regions, After three or four times immunotherapy with this mixture, the
following results were obtained.
1) Appearance of reversal reaction was observed in 6 of 11 trial cases after
immunotherapy and rapid clinical improvement is expected.
2) The decrease of Bacterial Index by skin scraping examination was not shown in 10
cases: however one case showed 1+BI decrease.
3) 10 cases (91%) has shown positive conversion of Fernandez reaction after
immunotherapy and 4 cases (36.4%) shown positive conversion of Mitzuda reaction.
4) The injections were well tolerated, but small ulcer developed at injection sites in
many case
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