Medical MCQ-An 8 years old boy from Bihar presents with a 6 months history of an ill defined, hypopigmented slightly atrophic macule on the face. The most likely diagnosis is:

An 8 years old boy from Bihar presents with a 6 months history of an ill defined, hypopigmented slightly atrophic macule on the face. The most likely diagnosis is:

Pityriasis alba

Indeterminate leprosy

Vitiligo

Calcium deficiency

Question Category:

Dental

Correct Answer:

Indeterminate leprosy

Description:

Indeterminate leprosy is characterized by: a. Solitary, hypo pigmentary patch over face in a child b. Scaling absent c. Atrophy present d. Patient from endemic area eg Bihar, Jharkhand, Chhattisgarh Differential diagnosis Pityriasis alba Intermediate leprosy Solitary, hypo pigmentary patch over face in a child + + Scaling + - H/O of Atopy + - H/o Atrophy - + Sensation Intact Impaired Histology Spongiosis Perifollicular paraneural lymphocytic infilterate Treatment Self limiting Paucibacillary- multi drug therapy

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