A case of borderline leprosy


Part 1: Classification of leprosy: Borderline Leprosy (BB)

In a proportion of patients the clinical signs suggesting borderline tuberculoid leprosy and borderline lepromatous leprosy are so well balanced that it is difficult to decide if the patient is at tuberculoid side or lepromatous side.

Borderline leprosy tends to be unstable. With time an evolvution towards borderline tuberculoid or borderline lepromatous side may be seen.

In active stage the lesions with not so well defined margins, are always moderately strongly positive on skin smear examination, even if without globi (big clusters of bacilli).

The lesions are many and may be extensive with some tendency towards symmetrical distribution.

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