Concluded Case

a man 43 yrs was spotted by a NM worker Having patches both cheeks. sensations lost for touch, cold, warmth, impaired for pain no peripheral nerves involved no trophic ulcers. no diabetes.Dx & Rx.

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Concluded answer

congratulate all respondents. but the classification not mentioned by none. it is a Tuberculoid type leprosy, paucibacillary, smear usually inconclusive. MDT 6 months. follow up 2 years for any relapse . rehabilitation if residual deformity appears later. The MDT is urgent to prevent deformity if any, + prevent worsening, spreading though it is less contagious.

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Hansen's Disease

Leprosy ? Needs further investigations and evaluation to conclude diagnosis and line of treatment. Maintain nutrition hydration and hygiene. Multivitamins and antioxidants orally. Rehydrate skin by applying moisturizer or emollient cream locally.

Thanks Dr Rohini Purnima.
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RULE OUT HANSEN 'S, DISEASE

Hansen's disease?

HANSENS

congratulate all respondents. but the classification not mentioned by none. it is a Tuberculoid type leprosy, paucibacillary, smear usually inconclusive. MDT 6 months. follow up 2 years for any relapse . rehabilitation if residual deformity appears later. The MDT is urgent to prevent deformity if any, + prevent worsening, spreading though it is less contagious.

after deeply seen pic. it's not leprosy. I am sorry doctor. but it's a just hypo pigmentosum.

PL read the brief carefully before being sorry.
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Tuburculaid leprosy erythemetous well defined edge need management as per dd

? HANSEN'S DISEASE.. BETTER TO CONFIRM BY BIOPSY..

Do Slit skin smear and rule out leprosy

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