Leprosy physical examination

Leprosy Microchapters
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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

Paucibacillary Hansen's disease is milder and characterized by one or more hypopigmented skin macules. Multibacillary Hansen's disease is associated with symmetric skin lesions, nodules, plaques, thickened dermis, and frequent involvement of the nasal mucosa resulting in nasal congestion and epistaxis.

Physical Examination

Appearance of the Patient

• Multiple bruises and/or burns from trauma, generally involuntarily self-inflicted.

Vitals

• A fever may be present.

Skin

• Cuts and bruises are commonly present.

Cutaneous leprosy lesions on a patient's thigh.

Neurologic

• Sensory loss is often present.

References

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