Differential Diagnosis of Leprosy
Jun 02, 2015
Differential Diagnosis of Leprosy
Hypopigmented patch on buttock
Hypopigmented patch
Pityriasis versicolar
A hypo pigmented patch in an 8 year old child
Patch/Macular hypopigmented type of skin lesion
• Nevus Anemicus
• Pityriasis Alba
• Early Vitligo
• Pityriasia versicolar
• Post inflammatory hypo-pigmentation
• Differential diagnosis for
Erythematous plaque lesion with well defined annular border .
– Skin lesions are few.
– One erythematous large plaque is usually present, with well-
defined annular borders that are elevated and that slope down
into an atrophic center.
– central healing.
– Lesions can be dry and scaly, hypohidrotic, and hairless.
– Another presentation involves a large, asymmetric
hypopigmented macule.
DDX of well defined annular peripheraly raised lesions
• Tinea corporis
• Cutaneous lesihmaniasis
• Cutaneous tuberclosis
• Psoriasis
• Pityriasis Rosea – Herald patch
• Granuloma annulare
DDx of multiple nodules on the skin
Lepromatous leprosy father and child
Lepromatous leprosy
Secondary Syphilis
DCL
DDx of multiple nodules on skin
• Lepromatous leprosy
• Diffuse Cutaneous Leishmaniasis
• kaposi Sarcoma
• Nodulocystic acne
• Deep fungal infection
• PKDL
• Secondary Syphilis
• Neuro fibromatosis
DDX of Type I Reversal Reaction
• Erysipela
• Cellulitis
• abscess
Leprosy reaction lesions
DDx of Nerve Enlargement
• Neuro fibromatosis
• Primary Amyloidosis
Nerve enlargement