170.LEONINE FACIES IS SEEN IN

A.EARLY CHRONIC LEPROMATOUS LEPROSY
B.LATE CHRONIC LEPROMATOUS LEPROSY
C.LATE CHRONIC TUBERCULOID LEPROSY
D.EARLY CHRONIC TUBERCULOID LEPROSY

ANS: LATE CHRONIC LEPROMATOUS LEPROSY



Lepromatous

Early nerve involvement may go unnoticed
Numerous lesions of all kinds, plaques, macules, papules and nodules
Early symptoms include nasal stuffiness, discharge and bleeding, and swelling of the legs and ankles
Left untreated, the following problems may occur:

• Skin thickens over forehead (leonine facies), eyebrows and eyelashes are lost, nose becomes misshapen or collapses, ear lobes thicken, upper incisor teeth fall out
• Eye involvement causing photophobia (light sensitivity), glaucoma and blindness
• Skin on legs thickens and forms ulcers when nodules break down
• Testicles shrivel causing sterility and enlarged breasts (males)
• Internal organ infection causing enlarged liver and lymph nodes
• Voice becomes hoarse due to involvement of the larynx
• Slow scarring of peripheral nerves resulting in nerve thickening and sensory loss. Fingers and toes become deformed due to painless repeated trauma.