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Diagnostic Work-Up

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Abstract

Leprosy services are organized on two levels: the basic level integrated into general health services, and a second, referral level. In most cases, leprosy has slow onset, in the skin. The first elements to be considered for diagnosis are the arrangement and characteristics of the lesions. After this clinical analysis, paraclinical tests are performed (testing for anesthesia and slit-skin smear examination for acid-fast bacilli by direct microscopy). Histopathology is the gold standard in leprosy diagnosis. Diagnosis is based on clinical, microbiological, and histopathological parameters. The diagnostic work-up is completed by searching for peripheral nerve trunk damage.

The first step towards diagnosing leprosy is to think of the possibility of leprosy

D.L. Leiker

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References

  1. WHO, Regional Office for South-East Asia (2010) Enhanced global strategy for further reducing the disease burden due to leprosy (2011–2015), New Delhi

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  2. Ridley DS (1988) Nature of the leprosy spectrum. In: Ridley DS (ed) Pathogenesis of leprosy and related diseases. Wright, London, pp 93–105

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  3. World Health Organization (1982) Study group on chemotherapy of leprosy for control programmes, Technical report series no. 675, Geneva

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  4. Nunzi E, Fiallo P (2001) La lebbra. In: Giannetti A (ed) Trattato di Dermatologia, vol 2. Piccin, Padova, pp 1–43 cap. 35

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Correspondence to Enrico Nunzi .

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© 2012 Springer-Verlag Italia

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Nunzi, E., Massone, C., Noto, S. (2012). Diagnostic Work-Up. In: Nunzi, E., Massone, C. (eds) Leprosy. Springer, Milano. https://doi.org/10.1007/978-88-470-2376-5_26

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  • DOI: https://doi.org/10.1007/978-88-470-2376-5_26

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  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-2375-8

  • Online ISBN: 978-88-470-2376-5

  • eBook Packages: MedicineMedicine (R0)

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