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Salvatore Noto, Pieter A M Schreuder's Diagnosis of Leprosy PDF

By Salvatore Noto, Pieter A M Schreuder

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Tangential light is best, as on front of chin. Courtesy of Grace Warren 27 Direct sunlight passing trough the foliage of the tree creates false skin lesions! Courtesy of S Noto 28 Diagnosis of leprosy The 1st cardinal sign of leprosy Salvatore Noto, Pieter A M Schreuder Leprosy mailing list, May 2010 1 The 1st cardinal sign of leprosy “Skin patch with loss of sensation” 2 Testing for loss of sensation Courtesy of B. Naafs 3 Testing for loss of sensation 1. Explain 2. Demonstrate 3. Test when the patient comprehends fully Courtesy of: S Noto 4 • Hypopigmentation • Distribution • Margins • Streaming and satellite lesions Loss of sensation?

Naafs 3 Testing for loss of sensation 1. Explain 2. Demonstrate 3. Test when the patient comprehends fully Courtesy of: S Noto 4 • Hypopigmentation • Distribution • Margins • Streaming and satellite lesions Loss of sensation? Yes Leprosy Courtesy of: S Noto 5 • Distribution • Margins • Streaming and satellite lesions • Surface is dry Loss of sensation? Yes. Leprosy Courtesy of: S Noto 6 Addendum The sweat and histamine tests 7 Loss of sweating in hypopigmented leprosy macules Borderline leprosy The big leprosy lesion (arrow) is definitely dry while the normal skin is shiny from the reflection from the moisture of the sweat.

A well defined edge for part of the lesion, is apparent. It is slightly erythematous, when seen in good light, but not in sun. Appearance of lesion varies with angle of the rays of light. Tangential light is best, as on front of chin. Courtesy of Grace Warren 27 Direct sunlight passing trough the foliage of the tree creates false skin lesions! Courtesy of S Noto 28 Diagnosis of leprosy The 1st cardinal sign of leprosy Salvatore Noto, Pieter A M Schreuder Leprosy mailing list, May 2010 1 The 1st cardinal sign of leprosy “Skin patch with loss of sensation” 2 Testing for loss of sensation Courtesy of B.

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Diagnosis of Leprosy by Salvatore Noto, Pieter A M Schreuder


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