By A. Colin McDougall, Yo Yuasa
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Extra info for A New Atlas of Leprosy
NON-LEPROSY CONDITIONS OF THE SKIN – Simple commonly occurring conditions 5. Contact dermatitis. Skin contact with a wide range of substances, including dyes, soaps, detergents, cosmetics, plants, plastics, etc. In contrast to leprosy, itching is usually present, especially in the early stages; may be intense and lead to scratching and secondary infection. Sensation, sweating and examination of peripheral nerves are all normal. 51 52 NON-LEPROSY CONDITIONS OF THE SKIN – Simple commonly occurring conditions 6.
The following pictures are included to help frontline health workers and volunteers to recognise reactions and refer the patient for expert advice. • In the following pages, reactions are classified into Type 1 (Reversal or upgrading) + Type 2 (Lepromatous or ENL). 36 Reactions – Type 1 (syn. Reversal, Upgrading) 1. The picture shows a large patch of paucibacillary (PB) leprosy on the face and ear, with enlargement of the great auricular nerve in the neck (arrowed). A reaction developed suddenly after the start of multidrug therapy (MDT).
Left shoulder region. Present since birth; normal sensation and sweating. Take a history; ask the parents or close relatives about the duration of the lesion; test for loss or reduction of sensation. NON-LEPROSY CONDITIONS OF THE SKIN – Simple commonly occurring conditions 3. Post-inflammatory hypochromia. Reduction of normal pigment at the site of previous (possibly recent) inflammation from wounds and simple inflammatory conditions as shown here is common and may occasionally mimic early leprosy.
A New Atlas of Leprosy by A. Colin McDougall, Yo Yuasa