Leprosy physical examination
|
Leprosy Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Leprosy physical examination On the Web |
|
American Roentgen Ray Society Images of Leprosy physical examination |
|
Risk calculators and risk factors for Leprosy physical examination |
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.
Temperature
Pulse
Rate
Rhythm
Strength
Symmetry
Blood Pressure
Respiratory Rate
Skin
- Painless cuts, wounds and burns are often present, predominantly on the hands, arms, legs and feet.
- Hypopigmented and/or erythematous skin patches are often present.
 |
Head
Eyes
Ears
Nose
Throat
Neck
Lungs
Heart
Auscultation
Abdomen
Extremities
- Weakness of the hands and feet may be present.
- Claw fingers are often present.
- Foot drop is often present.
Neurologic
- Sensory loss is often present, predominantly on skin lesions and on the territories located after enlarged peripheral nerves.
- Paresthesias are often present, predominantly in the hands and feet.
- Tender and/or enlarged peripheral nerves are often present.