Leprosy pp 65-73 | Cite as

Physical Examination: Skin

  • Enrico Nunzi
  • Cesare Massone
  • Salvatore Noto


The first step in physical examination of the skin is observation of the distribution pattern of the cutaneous lesions, i.e., whether it is asymmetric or symmetric. Accurate examination will help to distinguish the type of lesions. In leprosy there are macules, plaques, papules, nodules, and diffuse infiltration. Diffuse infiltration characterizes anergic polar lepromatous leprosy (LLp). Palpation provides information on lesion surface and texture, which could be rough and dry or smooth and shiny. Edges can be distinguished as well defined or vague. Paraclinical tests, assessing sensitivity on lesions, and the presence of acid-fast bacilli end the clinical examination.


Sweat Gland Diffuse Infiltration Tactile Sensitivity Lepromatous Leprosy Symmetric Arrangement 
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Copyright information

© Springer-Verlag Italia 2012

Authors and Affiliations

  1. 1.Department of DermatologyUniversidad Tecnica Particular de LojaLojaEcuador
  2. 2.Department of DermatologyMedical University of GrazGrazAustria
  3. 3.Centre for Research in Leprosy and Tropical Dermatology (CIRLEP), University of GenoaGenoaItaly

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