Early Revelation of Leprosy in China by Sequential Antibody Analyses with LID-1 and PGL-I

Leprosy is a disabling chronic infection, with insidious onset that often evades early detection. In order to detect new leprosy cases in a timely manner, we conducted surveillance visits in some difficult-to-reach mountain areas in South West China where the disease is still prevalent. Our data con...

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Main Authors: Pan Qiong-Hua, Zheng Zhong-Yi, Yang Jun, Wen Yan, Yuan Lian-Chao, Li Huan-Ying, Steven G. Reed, Malcolm S. Duthie
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Journal of Tropical Medicine
Online Access:http://dx.doi.org/10.1155/2013/352689
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author Pan Qiong-Hua
Zheng Zhong-Yi
Yang Jun
Wen Yan
Yuan Lian-Chao
Li Huan-Ying
Steven G. Reed
Malcolm S. Duthie
author_facet Pan Qiong-Hua
Zheng Zhong-Yi
Yang Jun
Wen Yan
Yuan Lian-Chao
Li Huan-Ying
Steven G. Reed
Malcolm S. Duthie
author_sort Pan Qiong-Hua
collection DOAJ
description Leprosy is a disabling chronic infection, with insidious onset that often evades early detection. In order to detect new leprosy cases in a timely manner, we conducted surveillance visits in some difficult-to-reach mountain areas in South West China where the disease is still prevalent. Our data confirm that Chinese multibacillary (MB) leprosy patients have strong antibody responses against Mycobacterium leprae antigens ND-O-BSA and LID-1. Contacts of clinically diagnosed patients were then monitored at regular intervals by both physical examinations and the laboratory determination of antibody responses in sera collected during these examinations. Elevations in antibody titers indicated the onset of MB leprosy in one of the contacts, and diagnosis was subsequently confirmed on physical examination. Our data indicate that rising antibody titers can be used as a trigger for physical examination or increased monitoring of particular individuals in order to provide early leprosy diagnosis.
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institution Kabale University
issn 1687-9686
1687-9694
language English
publishDate 2013-01-01
publisher Wiley
record_format Article
series Journal of Tropical Medicine
spelling doaj-art-c1700325be17423c9d195c31c92d59f92025-02-03T01:32:54ZengWileyJournal of Tropical Medicine1687-96861687-96942013-01-01201310.1155/2013/352689352689Early Revelation of Leprosy in China by Sequential Antibody Analyses with LID-1 and PGL-IPan Qiong-Hua0Zheng Zhong-Yi1Yang Jun2Wen Yan3Yuan Lian-Chao4Li Huan-Ying5Steven G. Reed6Malcolm S. Duthie7Leprosy Hospital, Kaiyuan, Honghe Prefecture, Yunnan Province 661600, ChinaInstitute of Dermatology of Honghe Prefecture, Yunnan 661400, ChinaYunnan Provincial CDC, Kunming, Yunnan 650022, ChinaBeijing Tropical Medicine Research Institute, Beijing Friendship Hospital-Affiliate of Capital University of Medical Sciences, 95 Yong An Road, Beijing 100050, ChinaBeijing Tropical Medicine Research Institute, Beijing Friendship Hospital-Affiliate of Capital University of Medical Sciences, 95 Yong An Road, Beijing 100050, ChinaBeijing Tropical Medicine Research Institute, Beijing Friendship Hospital-Affiliate of Capital University of Medical Sciences, 95 Yong An Road, Beijing 100050, ChinaInfectious Disease Research Institute (IDRI), Seattle, WA 98104, USAInfectious Disease Research Institute (IDRI), Seattle, WA 98104, USALeprosy is a disabling chronic infection, with insidious onset that often evades early detection. In order to detect new leprosy cases in a timely manner, we conducted surveillance visits in some difficult-to-reach mountain areas in South West China where the disease is still prevalent. Our data confirm that Chinese multibacillary (MB) leprosy patients have strong antibody responses against Mycobacterium leprae antigens ND-O-BSA and LID-1. Contacts of clinically diagnosed patients were then monitored at regular intervals by both physical examinations and the laboratory determination of antibody responses in sera collected during these examinations. Elevations in antibody titers indicated the onset of MB leprosy in one of the contacts, and diagnosis was subsequently confirmed on physical examination. Our data indicate that rising antibody titers can be used as a trigger for physical examination or increased monitoring of particular individuals in order to provide early leprosy diagnosis.http://dx.doi.org/10.1155/2013/352689
spellingShingle Pan Qiong-Hua
Zheng Zhong-Yi
Yang Jun
Wen Yan
Yuan Lian-Chao
Li Huan-Ying
Steven G. Reed
Malcolm S. Duthie
Early Revelation of Leprosy in China by Sequential Antibody Analyses with LID-1 and PGL-I
Journal of Tropical Medicine
title Early Revelation of Leprosy in China by Sequential Antibody Analyses with LID-1 and PGL-I
title_full Early Revelation of Leprosy in China by Sequential Antibody Analyses with LID-1 and PGL-I
title_fullStr Early Revelation of Leprosy in China by Sequential Antibody Analyses with LID-1 and PGL-I
title_full_unstemmed Early Revelation of Leprosy in China by Sequential Antibody Analyses with LID-1 and PGL-I
title_short Early Revelation of Leprosy in China by Sequential Antibody Analyses with LID-1 and PGL-I
title_sort early revelation of leprosy in china by sequential antibody analyses with lid 1 and pgl i
url http://dx.doi.org/10.1155/2013/352689
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