01162nas a2200193 4500000000100000008004100001653001200042653001700054100001100071700001300082700001500095700001400110700001400124245005800138300001200196490000600208050001400214520074000228 2013 d10aleprosy10aChronic pain1 aReis F1 aGomes MK1 aSaadi LM V1 aGosling A1 aCunha AJL00aChronic pain in leprosy: new aspects to be considered a201-2100 v3 aREIS 20133 a

Leprosy is still considered to be endemic in several developing countries, such as India and Brazil. Infection with Mycobacterium leprae leads to chronic granulomatous inflammation in skin and peripheral nerves that can lead to sensory, motor and autonomic impairments. Since the disease causes severe sensory loss, little attention has been given to pain in leprosy. However, chronic pain in leprosy is being increasingly recognized as an important late complication of leprosy. This article discusses the assessment of pain in leprosy and suggests factors that can contribute to the chronicity. We also consider pain as a multiple system output, bringing the possibility of new treatment options for chronic pain in leprosy.