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Are skin smears a prerequisite for starting a patient on MDT?

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Are skin smears a prerequisite for starting a patient on MDT?

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No, skin smears are not a prerequisite for starting a patient on MDT. The clinical system of classification for the purpose of treatment includes the use of numbers of skin lesions and nerves involved as the basis for grouping the leprosy patients into MB and PB. If in doubt, the patient should be treated with MB regimen.

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