Leprosy — Uganda (General Adult population)
Cardinal Signs (≥1 required for diagnosis)
1. Hypopigmented patch(es) with definite loss of sensation. 2. Thickened or enlarged peripheral nerve(s) with loss of sensation and/or muscle weakness. 3. Positive slit-skin smear for Acid Fast Bacilli (AFB) — done at referral centres.
Classification — Paucibacillary (PB)
1–5 skin lesions. Negative slit-skin smear. Treatment duration: 6 months.
Classification — Multibacillary (MB)
>5 skin lesions OR positive slit-skin smear. Treatment duration: 12 months.
Disability Grading — Hands/Feet
Grade 0: No sensation problem, no visible deformity or damage. Grade 1: Sensation problem, no visible deformity. Grade 2: Visible deformity or damage.
Disability Grading — Eyes
Grade 0: No eye problem due to leprosy. Grade 1: Eye problem present but vision not severely affected (≥6/60). Grade 2: Severe visual impairment (<6/60), lagophthalmos, iridocyclitis, corneal opacities.
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