Leprosy

Mainly happens in tropical climate conditions

Transmitted through nasal secretions

Incubation period 2-6 years

Mainly affects skin and nerves

Clinical features

Thickened peripheral nerves with loss of sensation (Median, ulnar, common peroneal, greater auricular nerve)

Anaesthetic hypopigmented lesions

Reddish. Macculopapules

Diagnosis

Biopsy

Lepromin test

Complications

Blindness or glaucoma.

Iritis.

Hair loss.

Infertility.

Disfiguration of the face (including permanent swelling, bumps, and lumps)

Erectile dysfunction and infertility in men.

Kidney failure.

Muscle weakness that leads to claw-like hands or not being able to flex your feet.

Management

Referral to an infectious disease specialist

Medications-Rifampicin, dapsone