Leprosy in Mumbai, Maharashtra, India

Clinical cases presented by Dr Antonio Salafia

Leprosy mailing list, October 2011 1

Tuberculoid (TT) leprosyCourtesy of A. Salafia, Mumbai, India

Leprosy mailing list, October 2011 2

Case 1.

Borderline tuberculoid (BT) leprosyCourtesy of A. Salafia, Mumbai, India

Leprosy mailing list, October 2011 3

Case 2.

Borderline tuberculoid (BT) leprosy

Leprosy mailing list, October 20114

Case 3.

Hypo-pigmented lesion on wrist, medial aspect of the dorsum of hand and of 3rd, 4th and 5th fingers. Flexion of 4th and 5th proximal interphalangeal joints (ulnar palsy). Opening of a sinus along the dorsal cutaneous branch of the ulnar nerve.

Courtesy of A. Salafia, Mumbai, India

Borderline tuberculoid (BT) leprosy

The lower edge of the lesion is infiltrated. This boy has a bilateral lagophthalmos; moreover his hand is damaged .

Courtesy of A. Salafia, Mumbai, India

Leprosy mailing list, October 2011 5

Case 4.

Borderline leprosy The drawings show the position of the enlarged radial cutaneous and median nerves. There is a lesion on the palm and hypotrophy of thenar and hypothenar muscles

Courtesy of A. Salafia, Mumbai, India

Median n.

Leprosy mailing list, October 2011 6

Case 5.

Radial cutaneous n.

Borderline leprosy

Enlarged radial cutaneous nerve

Leprosy mailing list, October 2011 7Courtesy of A. Salafia, Mumbai, India

Case 5.

Radial cutaneous n.

Leprosy, enlarged great auricular nerve

Courtesy of A. Salafia , India Leprosy mailing list, October 2011 8

Case 6.

Leprosy, sequelae of bilateral motor and sensitive median and ulnar nerves damage

Leprosy mailing list, October 2011 9Courtesy of A. Salafia, Mumbai, India

Case 7.

Leprosy, bilateral lagophthalmos

Leprosy mailing list, October 2011 10

Courtesy of A. Salafia, Mumbai, India

Case 8.

Borderline lepromatous (BL) leprosy(Reactive?)

Leprosy mailing list, October 2011 11

Courtesy of A. Salafia, Mumbai, India

Case 9.

Borderline lepromatous (or lepromatous ?) leprosy

Leprosy mailing list, October 2011 12

Courtesy of A. Salafia, Mumbai, India

Case 10.

Leprosy.Erythema nodosum leprosum (ENL) necroticans

Leprosy mailing list, October 2011 13

Courtesy of A. Salafia, Mumbai, India

Case 11.

Leprosy.Erythema nodosum leprosum (ENL) necroticans

Leprosy mailing list, October 2011 14

Courtesy of A. Salafia, Mumbai, India

Case 12.