Part 1: Classification of leprosy: Lepromatous Leprosy (LL)

Lepromatous leprosy presents with wide spread lesions, sometimes pauples or nodules distributed symmetrically. The skin lesions can be more or less infiltrated.

Skin smears are strongly positive for acid fast bacilli with big globi. Skin smears from normal looking skin may also be positive.

In the picture a patient with lepromatous leprosy with numerous nodules and papules distributed symmetrically. Skin smear examination showed a BI of 5-6+