Leprosy history and symptoms: Difference between revisions

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==Overview==
==Overview==
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 also essential to reach a correct [[diagnosis]].
Common [[symptoms]] of leprosy include [[hypopigmentation|hypopigmented]], [[anesthetic]], red [[skin lesions]], that are hard to heal, [[muscle weakness]] and [[paresthesia]] of the hands and feet and [[nodular]] growths on the [[skin]]. If left untreated [[blindness]] and [[paralysis]] may occur.  


==History==
==History==
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* Growths in the [[skin]]
* Growths in the [[skin]]
* Thicker or [[dry skin]]
* Thicker or [[dry skin]]
* [[Numbness]] or lack of [[sensation]], predominantly on the [[hands]], [[Arm|arms]], [[feet]] and [[legs]].
* [[Paresthesia]] or lack of [[sensation]], predominantly on the [[hands]], [[Arm|arms]], [[feet]] and [[legs]].
* [[Muscle weakness]], predominantly of the [[hands]], [[feet]] and [[eyelids]].
* [[Muscle weakness]], predominantly of the [[hands]], [[feet]] and [[eyelids]].
* [[Eye]] problems, such as [[dry eyes]] and [[corneal abrasion]]
* [[Eye]] problems, such as [[dry eyes]] and [[corneal abrasion]]
* Enlargement of [[nerves]], followed by [[tenderness]] and/or [[pain]], particularly on the [[elbow]] and [[knee]] areas.
* Enlargement of [[nerves]], followed by [[tenderness]] and/or [[pain]], particularly on the [[elbow]] and [[knee]] areas.
* [[Stuffy nose]]
* [[Nasal congestion]]
* [[Nose bleed]]
* [[Epistaxis]]
* [[Feet]] lesions
* [[Feet]] lesions



Revision as of 19:06, 8 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

Common symptoms of leprosy include hypopigmented, anesthetic, red skin lesions, that are hard to heal, muscle weakness and paresthesia of the hands and feet and nodular growths on the skin. If left untreated blindness and paralysis may occur.

History

Obtaining an adequate history is an essential component of the diagnosis of leprosy. Since it is not a common condition in developed countries, a correct diagnosis may be harder to reach, in which case a detailed history including 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 appear, the history of travels should be emphasized and broad in time. 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 appearing in more severe cases include:[1]

References

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


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