Leprosy Diagnostic Landscape

Clinical Diagnosis (WHO Cardinal Signs)

Diagnosis based on one or more of the three WHO cardinal signs: a hypopigmented or erythematous patch with definite sensory loss, thickened or tender peripheral nerves, and demonstrable acid-fast bacilli. It requires no consumables and is the reference procedure in national programmes.

Technology
Clinical & Functional · Clinical examination
What it measures
Hypopigmented or anaesthetic patch, thickened nerve and acid-fast bacilli
Developer
WHO programmatic standard
Specimen
None (clinical/imaging)
Development status
FDA/CE/WHO endorsed
Regulatory status
National approval
Intended use
Programmatic case detection and initiation of multidrug therapy at all health-care levels
Main limitation
Depends on the examiner, and other hypopigmented skin conditions are known to be misdiagnosed as leprosy.
Linked publications
120
TPP-1, confirming leprosy
57.5 of 100, partial alignment
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