1. Leprosy pathogenesis 2. Bone involvement in leprosy- pathogenesis 3. Disabilities and deformities in leprosy 4. HIV skin manifestations 5. LGV-C/F, complications, Mx In 10 marks format for 3rd yr dermatology post graduate theory examination
| # | Topic | Key Sections |
|---|---|---|
| 1 | Leprosy Pathogenesis | Organism biology, entry, CMI spectrum (TT→LL), Th1 vs Th2, Virchow cells, PGL-1, Lepra reactions (Type 1 RR, Type 2 ENL, Lucio) |
| 2 | Bone Involvement in Leprosy | Specific (direct): periostitis, dactylitis, nasal bone, facies leonina. Secondary (neuropathic): Charcot joints, osteomyelitis, pathological fracture. X-ray findings tabulated |
| 3 | Disabilities & Deformities | WHO grades 0/1/2. Nerve-by-nerve breakdown: ulnar (claw hand), median (ape thumb), peroneal (foot drop), posterior tibial (plantar ulcer), facial (lagophthalmos), trigeminal (blind cornea). Eye, face, genital deformities. POD strategies |
| 4 | HIV Skin Manifestations | 8 categories: viral (HSV, VZV, Molluscum, HPV, OHL), bacterial (Bacillary angiomatosis, syphilis, staph), fungal (candida, tinea, cryptococcus, penicilliosis), parasitic (Norwegian scabies), inflammatory (seborrheic, psoriasis, eosinophilic folliculitis, PPE), neoplastic (Kaposi sarcoma, NHL), drug reactions, IRIS |
| 5 | LGV | Etiology (L1-L3 serovars), 3 stages, Groove sign, anorectal LGV in MSM, acute + chronic complications, diagnosis (NAAT gold standard, MIF, CFT), treatment (Doxycycline 100mg BD x 21 days), bubo management (aspiration, not I&D), partner treatment, special populations |