Punched out lesion or inverted saucer appearance are characteristic of which stage of leprosy-
Ans. is 'c' i.e., Borderline lepromatous Clinical manifestations of different types of leprosy according to Ridley Jopling classificationFeatureInd LeprosyTLBTBLLLPNLSkin lesionVague,hvpopigmentedpatchWell defined round patchLarge,oval or round patch with raised borderSmaller,hvpopigmentedpatchesplaqueSmallerythematous patches and maculesNoneNumberSolitarySolitary1-5, often as satelitelesion near a large lesionManymore than 10 macules, patches, plaques, often punched out or inverted saucer shaped lesionInnumerable, shiny, oil smeared appearance macules, patches, nodulesNoneNerveNot involvedLocal nerve thickenedLocal nerves thickenedsymmetricalnervethinkenedLate, symmetrical nerve thickeningSingle or multiple nerve thinkenedSensorylossDoubtful;thoroughexaminationneededDefinite sensory lossDefinite sensory loss on patchLess definite sensoryloss on patches (Hypoesthesia)Late glove andstockinganesthesiaRegionalsensory-lossOtherfeaturesSpontaneous healing may occur Leonine facies Infiltration of ear lobes, eye brows, pedel oedema ReactionsNot-commonNot commonType IType 1 & 2Type 2; ENLType 1
Tuberculoid
Borderline tuberculoid
Borderline lepromatous
Lepromatous