By A. Colin McDougall, Yo Yuasa
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Extra resources for A New Atlas of Leprosy
Over or wrong diagnosis is equally serious and may be occurring to a significant extent in programmes which undertake intensive case-finding activities over a limited period of time. ” We have divided the pictures into two groups: (a) Relatively ‘simple’ (straightforward) conditions which occur commonly in most countries, 1–15, and (b) Less commonly occurring conditions, including a few which may rarely be seen in some areas, mainly as a reminder of the wide range of skin (dermatological) conditions which can, under different circumstances, cause confusion and lead to wrong diagnosis, 16–25.
A large lesion with reduced colouring (hypopigmentation) is seen between the buttocks, including some ‘daughter’ or ‘satellite’ lesions beyond the main edges and there are other lesions at top right of the picture. Three other skin lesions were recorded and two peripheral nerves involved. These lesions had loss of sensation to cotton wool and pinprick. Multibacillary (MB) leprosy. 25 26 MULTIBACILLARY (MB) LEPROSY 16. Numerous lesions of faint coppery colour are seen over the buttocks and lower back.
Granuloma annulare. As shown here, the lesions may closely resemble some forms of PB leprosy. Affects mainly children and young adults. The upper picture shows the common localised form. The lower picture illustrates a much less common widely distributed form. Papules or nodules appear in a ring-like (annular) pattern. Lesions are symptomless and there are no enlarged peripheral nerves. Sensation and sweating are normal.