patient’s data
DESCRIPTION
Indeterminate Leprosy. Patient’s Data. Earliest and mildest form One to a few of hypopigmented or erythematous macules Loss of sensation is rare 75% of affected persons have lesions that heal spontaneously - PowerPoint PPT PresentationTRANSCRIPT
Patient’s Data erythematous ill-defined
asymptomatic patches (upper extremities, with tingling sensation, numbness of the hands) into multiple erythematous to skin-colored plaques and nodules 1.5x 3.5 to 2.0 x 4.0 cm (malar area, helix of ears, upper extremities, thighs)
(+) leonine facies (-) madarosis
Indeterminate Leprosy
Earliest and mildest form
One to a few of hypopigmented or erythematous macules
Loss of sensation is rare 75% of affected persons
have lesions that heal spontaneously
Most cases progress into a later form, although patients with strong immunity may either clear the infection on their own or persist in this form without progressing.
Patient’s Data erythematous ill-defined
asymptomatic patches (upper extremities, with tingling sensation, numbness of the hands) into multiple erythematous to skin-colored plaques and nodules 1.5x 3.5 to 2.0 x 4.0 cm (malar area, helix of ears, upper extremities, thighs)
(+) leonine facies (-) madarosis
Tuberculoid Leprosy
One erythematous large plaque with well-defined borders that are elevated and that slope down into an atrophic center
Lesions can become arciform or annular
Can be found on the face, limbs, or elsewhere, but they spare intertriginous areas and the scalp
Lesions can be dry and scaly, hypohidrotic, and hairless
Involves a large, asymmetric hypopigmented macule
Patient’s Data erythematous ill-defined
asymptomatic patches (upper extremities, with tingling sensation, numbness of the hands) into multiple erythematous to skin-colored plaques and nodules 1.5x 3.5 to 2.0 x 4.0 cm (malar area, helix of ears, upper extremities, thighs)
(+) leonine facies (-) madarosis
Tuberculoid Leprosy
Spontaneous resolution can occur in a few years, leaving pigmentary disturbances or scars
Progression can also occur, leading to borderline-type leprosy
Neural involvement is common - leads to tender, thickened nerves with subsequent loss of function
Great auricular nerve, common peroneal, ulnar, and radial cutaneous and posterior tibial nerves are often prominent
Nerve damage can happen early, resulting in wrist drop or foot drop
Tuberculoid Leprosy
Patient’s Data erythematous ill-defined
asymptomatic patches (upper extremities, with tingling sensation, numbness of the hands) into multiple erythematous to skin-colored plaques and nodules 1.5x 3.5 to 2.0 x 4.0 cm (malar area, helix of ears, upper extremities, thighs)
(+) leonine facies (-) madarosis
Borderline Tuberculoid
Similar to tuberculoid type except that lesions are smaller and more numerous
Alopecia is less Anesthesis is less
severe Disease may stay in
this stage or convert back to tuberculoid form, or progress to lepromatous leprosy
Borderline Tuberculoid Leprosy
References
http://dermnetnz.org/bacterial/leprosy.htmlhttp://emedicine.medscape.com/article/11049
77-overview