01275nas a2200253 4500000000100000008004100001260001300042653001500055653001000070653000900080653003100089653001200120653001100132653001100143653001200154653000900166653001600175100001400191245003700205300001000242490000700252520074800259022001401007 1983 d c1983 Oct10aAdolescent10aAdult10aAged10aEmigration and Immigration10aEngland10aFemale10aHumans10aleprosy10aMale10aMiddle Aged1 aEllis C J00aLeprosy in Birmingham--a review. a652-40 v593 a

Twenty-three men and seven women from the West Midlands conurbation (population 2.7 million) have been investigated and treated for leprosy since 1970. The clinical features of the patients at presentation are described with an account of treatment given and the outcome. The pattern of this disease in Britain is different from that seen in the U.S.A. and poses little threat to public health. The disease can be cured by chemotherapy but neuropathy is unlikely to recover if it is a presenting symptom. The diagnosis of leprosy should be considered in all patients who have lived in an endemic area who present with disorders of peripheral nerves or skin. Early diagnosis is essential to minimize nerve damage and resulting deformity.

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