“…The risk of type 1 reaction may increase with vaccination, MDT, pregnancy, puerperality, infections, stress, trauma, and oral contraceptive use. The extensiveness of skin lesions has been described as an important risk factor both in patients with low and high bacilli load [1]. It has been shown that the risk of developing neural damage, along with the risk of developing reversal reaction, is 10-fold higher in patients in whom three or more body segments are affected [11].…”