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The in vivo and in vitro effects of levamisole in patients with lepromatous leprosy.

Abstract
Levamisole, 150 mg daily, was administered on 2 consecutive days per week for 6 weeks to two groups of patients with lepromatous leprosy. Group I was composed of patients who were receiving specific anti-leprosy therapy for varying periods of time and Group II were untreated lepromatous patients. Whereas half the patients in Group I received levamisole and the other half a placebo, those in Group II all received levamisole. Patients in both groups showed a) no clinical improvement, b) no conversion of the lepromin reaction, c) no histological change in skin biopsies, d) conversion of SKSD skin reactions from negative to positive in 20% of patients from each group, and e) unaltered absolute neutrophil counts. Whereas the total lymphocyte counts were unchanged in patients from Group I, 13 patients from Group II showed an increased lymphocyte count of greater than 10%. Lymphocyte transformation and lymphokine production in the second group showed no significant change, although four patients showed some lymphokine production after levamisole therapy. E and EAC rosettes were significantly increased in cases where these were reduced prior to treatment with levamisole-Side effects due to levamisole were not experienced.
AuthorsR Sher, A A Wadee, M Joffe, S H Kok, F M Imkamp, I W Simson
JournalInternational journal of leprosy and other mycobacterial diseases : official organ of the International Leprosy Association (Int J Lepr Other Mycobact Dis) Vol. 49 Issue 2 Pg. 159-66 (Jun 1981) ISSN: 0148-916X [Print] United States
PMID7196885 (Publication Type: Clinical Trial, Controlled Clinical Trial, Journal Article)
Chemical References
  • Lymphokines
  • Lepromin
  • Levamisole
Topics
  • Adolescent
  • Adult
  • Female
  • Humans
  • Lepromin
  • Leprosy (drug therapy, immunology)
  • Leukocyte Count
  • Levamisole (therapeutic use)
  • Lymphocyte Activation (drug effects)
  • Lymphocytes (drug effects)
  • Lymphokines (biosynthesis)
  • Male
  • Middle Aged

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