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Leprosy Training Module for Medical Officers

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Classification of <strong>Leprosy</strong><br />

As per WHO classification, <strong>Leprosy</strong> is classified<br />

purpose of treatment .<br />

into two types <strong>for</strong> the<br />

This classification is based on the number of skin lesions and<br />

involvement .<br />

nerve<br />

1. Paucibacillary <strong>Leprosy</strong> ( PB )<br />

2. Multibacillary <strong>Leprosy</strong> ( MB )<br />

Skin Lesions :<br />

Includes<br />

Macules - Flat<br />

lesions<br />

Papules – Raised<br />

lesions<br />

Nerve Damage :<br />

Resulting in loss of<br />

sensation or<br />

weakness of muscles<br />

supplied by the<br />

affected nerve<br />

Paucibacillary <strong>Leprosy</strong><br />

( PB )<br />

• 1 to 5 lesions<br />

• Big to medium<br />

• Asymmetrical<br />

• Definite loss of<br />

sensation<br />

• Dryness over the<br />

patch present<br />

• Loss of hair over the<br />

patch<br />

• Only 1 nerve involved<br />

Multibacillary <strong>Leprosy</strong><br />

( MB )<br />

• > 5 lesions<br />

• Small<br />

• Symmetrical<br />

• Loss of sensation<br />

( May be / May not be )<br />

• Dryness over the<br />

patch absent<br />

• No loss of hair over<br />

the patch<br />

• 2 or more nerves<br />

involved<br />

24

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