Leprosy history and symptoms

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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

Despite the considerable decrease in the incidence of leprosy in recent years, after the preventive and treatment measures applied by the WHO, there are still endemic areas of the 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.

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. 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 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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