01617nas a2200229   4500000000100000008004100001653003400042653001200076653001900088653001900107100001600126700001500142700001500157700001600172700001200188245010000200856007300300300001200373490000700385050001800392520097700410       2012                            d10aRidley Jopling classification10aleprosy10aHistopathology10aClassification1 aBijjaragi S1 aKulkarni V1 aSuresh K K1 aChatura K R1 aKumar P00aCorrelation of clinical and histopathological classification of Leprosy in post elimination era  uhttp://ijl.org.in/oct-dec-2012/3%20Seema%20Bijjaragi%20(271-275).pdf  a271-2750 v84  aBIJARAGI 20123 aClinical and histopathological correlative study was carried out in 171 cases of leprosy using the criteria laid down by Ridley and Jopling. There was male preponderance in the study with majority of patients (35.7%) in the age goup of 21-30 years. The overall concordance between the clinical and histopathological diagnosis was 57.3%. Maximum concordance was seen in the polar ends of the spectrum with 76.9% in LL and 75.0% in TT. The concordance rate was lower in the borderline groups with 57.3% in BT, 40.0% in BL and least concordance of 16.7% in BB. However the concordance for IL was higher than the borderline groups with 66.7%. Cases in borderline group are in continuously changing immunological spectrum. Histological classification because of its definitive features gives a better indication than clinical classification for any recent shift of a case in the spectrum. Therefore skin biopsy should be done in all cases for correct classification of leprosy.