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Leprosy skin test
The lepromin skin test is used to determine what type of leprosy a person has.
A sample of inactivated (unable to cause infection) leprosy-causing bacteria is injected just under the skin, usually on the forearm, so that a small lump pushes the skin up. The lump indicates that the antigen has been injected at the correct depth.
The injection site is labeled and examined 3 days, and again 28 days, later to see if there is a reaction.
People with dermatitis or other skin irritations should have the test performed on an unaffected part of the body.
If your child is to have this test performed, it may be helpful to explain how the test will feel, and even demonstrate on a doll. Explain the reason for the test. Knowing the "how and why" may reduce the anxiety your child feels.
When the antigen is injected, there may be a slight stinging or burning sensation. There may also be mild itching at the site of injection afterwards.
Renault CA, Ernst JD. Mycobacterium leprae. In: Mandell GL, Bennett JE, Dolin R, eds. Principles and Practice of Infectious Diseases. 7th ed. Philadelphia, Pa: Elsevier Churchill Livingstone; 2009:chap 251.
Kumar B, Dogra S. The infectious diseases. In: Bope ET, Rakel RE, Kellerman R, eds. Conn's Current Therapy 2011. 1st ed. Philadelphia, Pa: Saunders Elsevier; 2010:section 2.
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