Clinical findings |
LL |
BL |
BB |
BT |
TT |
I |
Type of lesions |
Macules, papules, nodules, diffuse infiltration |
Macules, papules, plaques, infiltration |
Plaques and domeshaped, punched-out lesions |
Infiltrated plaques |
Infiltrated plaques, often hypopigmented |
Macules, often hypopigmented |
Number |
Numerous |
Many |
Many |
Single, usually with satellite lesions, or more than 5 lesions |
One or few (up to 5) lesions |
One or few |
Distribution |
Symmetric |
Tendency to symmetry |
Evident asymmetry |
Asymmetric |
Localized, asymmetric |
Variable |
Definition |
Vague, difficult to distinguish normal versus affected skin |
Less well- defined borders |
Less well-defined borders |
Well-defined, sharp borders |
Well-defined, sharp borders |
Not always defined |
Sensation |
Not affected |
Diminished |
Diminished |
Absent |
Absent |
Impaired |
Bacilli in skin lesions |
Many (globi) |
Many |
Many |
Few (1+), if any, detected |
None detected |
Usually none detected |
Adapted from Ramos-e-Silva M , Castro MCR. Mycobacterial infections. In: Bolognia JL; Jorizzo JL; Rapini RP. Dermatology. 2nd edition. London: Mosby, 2008; 1109.
Legend
LL: lepromatous leprosy
BL: borderline LL
BB: mid-borderline leprosy
BT: borderline TT
TT: tuberculoid leprosy
I: indeterminate.