Evidence map›Paper›PMID 39609422›Full record

ReviewNature reviews. Disease primers2024

Leprosy.

Marlous L Grijsen, Thuan H Nguyen, Roberta Olmo Pinheiro, Pushpendra Singh, Saba M Lambert, Stephen L Walker, Annemieke Geluk

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Disease primers, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Multibacillary leprosy - a diagnostic and therapeutic challenge.Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG · 2026
    Article
  7. Article
  8. Article
  9. Glycosylation profile ofiScience · 2026
    Article
  10. Observational
  11. Article
  12. Seroprevalence ofThe Lancet regional health. Southeast Asia · 2026
    Article
  13. Article
  14. Lewis Y (LeImmunologic research · 2026
    Article
  15. Review
  16. Article
  17. Article
  18. Independent assessment of the WHO Skin Neglected Tropical Diseases application for leprosy detection.Revista panamericana de salud publica = Pan American journal of public health · 2026
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Marlous L GrijsenOxford University Clinical Research Unit Indonesia, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia. mgrijsen@oucru.org.ORCID http://orcid.org/0000-0002-7335-7313
Thuan H NguyenUniversity of Maryland, School of Medicine, Baltimore, MD, USA.
Roberta Olmo PinheiroLeprosy Laboratory, Oswaldo Cruz Institute, Oswaldo Cruz Foundation, (IOC/FIOCRUZ), Rio de Janeiro, Brazil.
Pushpendra SinghMicrobial Pathogenesis & Genomics Laboratory, ICMR-National Institute of Research in Tribal Health, Jabalpur, Madhya Pradesh, India.
Saba M LambertLondon School of Hygiene & Tropical Medicine, Faculty of Infectious Diseases, London, UK.
Stephen L WalkerLondon School of Hygiene & Tropical Medicine, Faculty of Infectious Diseases, London, UK.
Annemieke GelukLeiden University Center of Infectious Diseases (LUCID), Leiden University Medical Center, Leiden, The Netherlands. ageluk@lumc.nl.ORCID http://orcid.org/0000-0001-8555-2872

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Leprosy, a neglected tropical disease, causes significant morbidity in marginalized communities. Before the COVID-19 pandemic, annual new case detection plateaued for over a decade at ~200,000 new cases. The clinical phenotypes of leprosy strongly parallel host immunity to its causative agents Mycobacterium leprae and Mycobacterium lepromatosis. The resulting spectrum spans from paucibacillary leprosy, characterized by vigorous pro-inflammatory immunity with few bacteria, to multibacillary leprosy, harbouring large numbers of bacteria with high levels of seemingly non-protective, anti-M. leprae antibodies. Leprosy diagnosis remains clinical, leaving asymptomatic individuals with infection undetected. Antimicrobial treatment is effective with recommended multidrug therapy for 6 months for paucibacillary leprosy and 12 months for multibacillary leprosy. The incubation period ranges from 2 to 6 years, although longer periods have been described. Given this lengthy incubation period and dwindling clinical expertise, there is an urgent need to create innovative, low-complexity diagnostic tools for detection of M. leprae infection. Such advancements are vital for enabling swift therapeutic and preventive interventions, ultimately transforming patient outcomes. National health-care programmes should prioritize early case detection and consider post-exposure prophylaxis for individuals in close contact with affected persons. These measures will help interrupt transmission, prevent disease progression, and mitigate the risk of nerve damage and disabilities to achieve the WHO goal 'Towards Zero Leprosy' and reduce the burden of leprosy.

Indexed as

LeprosyMycobacterium lepraeCOVID-19HumansLeprostatic AgentsLeprostatic Agents

Identifiers

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.