Which of the following is a characteristic skin manifestation commonly seen in leprosy?

A Hypopigmented skin patches

B Erythematous plaques with silvery scales

C Target-shaped lesions with central clearing

D Bullous vesicles on an erythematous base

Solution

Correct Answer: Option A

- Hypopigmented skin patches are a characteristic manifestation of leprosy due to the loss of melanin pigmentation from nerve damage and skin infiltration by Mycobacterium leprae, leading to areas with diminished sensation.
- These patches are typically dry, hairless, and anaesthetic, which helps differentiate leprosy from other dermatoses.
- This clinical feature is important in early diagnosis and management of the disease.

Reference: Davidson’s Principles and Practice of Medicine, 23rd Edition, Chapter: Infections of the Skin and Subcutaneous Tissue, Page 976.

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