Signs and Symptoms of Leprosy

Key points

  • Leprosy is caused by slow-growing bacteria.
  • Symptoms mainly affect the skin, nerves, and lining of the nose.
  • People may lose feelings of touch and pain in affected areas, so injuries may not be noticed.
Leprosy lesions on a person's back and arms

Signs and symptoms throughout the body

The bacteria that causes leprosy grows very slowly. It may take up to 20 years after contact with the bacteria to develop signs of the disease.

Symptoms mainly affect the skin, nerves, and lining of the nose. If it's left untreated or treated late, it can cause serious complications and disabilities.

Signs and symptoms include:

Skin and face

  • Discolored or lighter patches of skin
  • Firm, rounded bumps under the skin
  • Thick, stiff, or dry skin
  • Painless ulcers on the soles of feet
  • Painless swelling or lumps on the face or earlobes
  • Loss of eyebrows or eyelashes
A light-colored skin lesion on the chest of someone with leprosy
Lesions from leprosy are often lighter than the rest of the skin.

Nose

  • Stuffy nose
  • Nosebleeds

Nerve damage

  • Numbness of the skin in affected areas
  • Muscle weakness or paralysis, especially in the hands and feet
  • Enlarged nerves, usually around the elbows, knees, and side of the neck
  • Eye problems that may lead to blindness
A red skin lesion and enlarged nerves on a person's chest
Leprosy can cause nerves to get larger and become noticeable.

Complications

If it's not treated, advanced leprosy can cause:

  • Paralyzed, disabled hands and feet
  • Shortened toes and fingers due to the body trying to reabsorb the tissue
  • Chronic open sores on the bottoms of the feet that don't heal
  • Blindness
  • Loss of eyebrows
  • Disfigured or damaged nose
  • Painful or tender nerves
  • Redness and pain around the affected area
  • Burning sensation in the skin
A person with untreated leprosy shows their hands and feet.
Advanced, untreated leprosy can cripple the hands and feet.