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Leprosy Training Module for Medical Officers

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Primary Disability<br />

Primary<br />

Disability<br />

Bacterial<br />

Invasion of<br />

tissues<br />

M a y o c c u r I n<br />

Nerve Damage<br />

Saddle Nose<br />

Loss of eyebrow<br />

Loss of eyelashes<br />

Motor<br />

fibres<br />

Sensory<br />

fibres<br />

Autonomic<br />

fibres<br />

Leonine Face<br />

Leads to<br />

Leads to<br />

Leads to<br />

Thickened Earlobes<br />

Paralysis<br />

Anaesthesia<br />

Dryness<br />

Primary Disabilities due to nerve Damage<br />

Site<br />

Face<br />

Nerve<br />

Facial Nerve<br />

Trigeminal<br />

Feature<br />

Inability to close the eye ( lagophthalmos )<br />

Loss of sensation over cornea<br />

Ulnar<br />

Clawing of 4 th and 5 th finger<br />

Loss of sensation and sweat over the little finger<br />

and the inner half of the ring finger<br />

Hand<br />

Median nerve<br />

alone<br />

Inability to move the thumb away ( abduction )<br />

and touch the tips of other fingers (opposition)<br />

Ulnar & Median<br />

Clawing of all five fingers<br />

Loss of sensation and sweat over the whole<br />

palm<br />

62

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