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Clinical Presentation and Diagnosis of Leprosy

The diagnosis of leprosy
The diagnosis of leprosy relies on both passive and active case-finding.

Clinical diagnosis.
This is achieved through observation of signs or symptoms of leprosy which includes;
·         One or more pale or reddish, hypo-pigmented patch(es) on the skin with diminished or loss of sensation.
·         Painless swelling or lumps in the face and/or earlobes.
·         Enlarged and/or tender nerves.
·         Burning sensation of the skin.
·         Numbness or tingling of hands and/or feet.
·         Weakness of eyelids, hands, and/or feet.
·         Painless wounds or burns on the hands and/or feet.

Examination of other organs:
·         Leprosy can affect a few organs other than skin and peripheral nerves.
·         Depending on the duration of the disease and the spread of leprosy through the body, various other organs may show signs typical for leprosy

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References
Wells BG, DiPiro J, Schwinghammer T (2013), Pharmacotherapy Handbook (6th Ed). New York, NY: McGraw-Hill.

DiPiro JT, Talbert RL, Yee GC, Matzke GR, Wells BG, Posey ML, (2008): Pharmacotherapy: A Pathophysiologic Approach (7th ed): New York, NY: McGraw-Hill.

Katz M D., Matthias KR., Chisholm-Burns M A., Pharmacotherapy(2011) Principles & Practice Study Guide: A Case-Based Care Plan Approach: New York, NY: McGraw-Hill.


Schwinghammer TL, Koehler JM (2009) Pharmacotherapy Casebook: A Patient-Focused Approach (7th ed): New York, NY: McGraw-Hill.

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