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Fig 1.

Flow chart of the retrospective study of leprosy as IRIS in French Guiana between 2000 and 2020.

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Fig 2.

IRIS type 1 after introduction of HAART in patient 3: TT on left flank.

A: at diagnosis of leprosy; B: on MDT and HAART; C: cured at M18 (continued MDT and HAART).

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Fig 3.

IRIS type 1 after introduction of HAART in patient 4: BT leprosy on the left ear and cheek with hypertrophy of the great auricular nerve.

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Fig 4.

IRIS type 4 after introduction of HAART in patient 5: BT leprosy in T1R on the right flank.

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Fig 5.

IRIS type 1 after introduction of HAART in patient 6: BT leprosy in T1R on the trunk.

A: multiple inflammatory papulo-nodular lesions. B: close-up view of the lesion on the right shoulder.

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Table 1.

Epidemiological, clinical and biological characteristics of the 6 patients included in the retrospective study diagnosed with leprosy as IRIS in French Guiana between 2000 and 2020.

M: male; RNA: ribonucleic acid; SL: skin lesion(s); T1R: type 1 reaction; U: ulceration; NT: neuritis; NFI: nerve fonction impairment; Se: sensitive; Mo: motor; 1: before MDT introduction; 2: after MDT introduction; TT: polar tuberculoid; BT: borderline tuberculoid; BB: borderline borderline; PB: paucibacillary; MB: multibacillary.

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Fig 6.

Flow chart of the systematic review of leprosy as IRIS according to the PRISMA 2020 criteria.

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Table 2.

Number and proportion of patients diagnosed with leprosy IRIS included in the systematic review.

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Fig 7.

Distribution of patients according to time from HAART introduction to leprosy IRIS.

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