01071nas a2200217 4500000000100000008004100001653001300042653001200055653000800067653001400075100001300089700001600102700001200118245006200130856006100192300001100253490000700264050001600271520055200287022001400839 2015 d10aReaction10aleprosy10aENL10adiagnosis1 aTurner D1 aMcGuiness S1 aLeder K00aLeprosy: diagnosis and management in a developed setting. uhttp://onlinelibrary.wiley.com/doi/10.1111/imj.12638/pdf a109-120 v45 aTURNER 20153 a

Leprosy remains an important global health concern, but little has been published about its diagnosis and management in developed settings. It has been postulated that delay in diagnosis is common in developed settings. We reviewed all the cases of leprosy seen at a major tertiary referral centre between 1999 and 2013 and demonstrated that delay in diagnosis is common, especially when patients present with symptoms of leprosy reactions rather than classical symptoms, such as hypo-pigmented hypo-aesthetic skin lesions and neuropathy.

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