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==Overview==
==Overview==
Despite the considerable decrease in the [[incidence]] of leprosy in recent years, after the [[prevention|preventive]] and [[Therapy|treatment]] measures applied by the [[WHO]], there are still [[endemic]] areas of this [[disease]], particularly in developing countries. Accordingly, the [[diagnostic]] procedures and the time to reach a correct [[diagnosis]] will depend on the area of the world it occurs. The [[diagnosis]] of leprosy should be considered when there is history of [[skin lesions]] that do not respond to [[Therapy|treatment]] for more common conditions or when in presence of [[sensory loss]] with concomitant [[trauma]] lesions or [[burns]]. Elements such as travel history, social contacts and concomitant clinical manifestations are also essential in reaching a correct [[diagnosis]], which contributes to a decrease of [[morbidity]] of this condition.
The [[diagnosis]] of leprosy should be considered when there is history of [[skin lesions]] that do not respond to [[Therapy|treatment]] for more common conditions or when in presence of [[sensory loss]] with concomitant [[trauma]] or [[burns]]. Elements such as travel history, social contacts and concomitant clinical manifestations are essential to reach a correct [[diagnosis]], by that contributing to a decrease of [[morbidity]] of this condition.


==History==
==History==

Revision as of 13:23, 7 July 2014

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: João André Alves Silva, M.D. [2]

Overview

The diagnosis of leprosy should be considered when there is history of skin lesions that do not respond to treatment for more common conditions or when in presence of sensory loss with concomitant trauma or burns. Elements such as travel history, social contacts and concomitant clinical manifestations are essential to reach a correct diagnosis, by that contributing to a decrease of morbidity of this condition.

History

Obtaining an adequate history is an essential component of the diagnosis of leprosy. Attending to the fact that it is not a common condition in developed countries, a correct diagnosis may be harder to reach, in which case a detailed history, that includes comprehensive description of symptoms, along with their time of onset and progression, as well as a list of recent travels, contacts and illnesses in any family member or coworker, is of extreme importance. Attending to the fact that the Mycobacterium leprae has a very slow growth, usually taking up to 2-10 years before symptoms start to appear, the history of travels should be emphasized and broad in time. An accurate history is also important since the clinical presentation is a major element of the diagnosis of leprosy, thereby facilitating the start of treatment, contributing to a better prognosis. History of recent trauma should also be asked, since it might explain some of the skin lesions in the patient.

Common Symptoms

Common symptoms of leprosy may include:[1]

Less Common Symptoms

Less common symptoms commonly appear in more severe cases of the disease, and may include:[1]

References

  1. 1.0 1.1 "Hansen's Disease (Leprosy) Signs and Symptoms".


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