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
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, therefore a detailed history, that includes detailed 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]
- Skin lesions that are lighter than normal skin color.
- Growths in the skin
- Thicker or dry skin
- Numbness or lack of sensation, predominantly on the hands, arms, feet and legs
- Muscle weakness
- Eye problems, such as dry eyes and corneal abrasion.
- Enlargement of nerves, particularly in the elbow and knee areas.
- Stuffy nose.
- Nose bleed.
- Lesions of the soles of feet.
Less Common Symptoms
Less common symptoms commonly appear in more severe cases of the disease, and may include:[1]