When I was working in Port Moresby I did not get to see much leprosy patients. There was a special leprosy clinic that was run by the dermatologist but the short exposure during medical school I think was not enough to diagnose and treat leprosy patients.
When I moved up to ILRH I heard there were some leprosy patients around but did not see them in our clinics. One old man did present to me but he had completed his treatment but we could do nothing to help correct his lower limp deformities. I only advised him to take care of his feet (he wears a pair of rubber gum boots everywhere) and come and see us as soon as he has a little sore. I also advised him to check his feet everyday before he goes to sleep and every morning he wakes up (in case rats had bites of his remaining toes or sole of his feet).
During one of our clinic days we had a lady who presented with a hand deformity which I thought was Dupuytren`s contracture as a result of ulnar nerve involvement by mycobacterium leprae. There was some degree of loss of sensation along the ulnar nerve distrubution and the ulnar nerve was also thickened. The deformity was unilateral.
The photos are shown below.