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. 2022 Nov 3;13(1):1985–2011. doi: 10.1080/21505594.2022.2141987

Figure 2.

Figure 2.

Classification of leprosy on the Ridley-Jopling scale based on immunology, histology, and bacteriology. Leprosy is classified into tuberculoid (TT), borderline tuberculoid (BT), mid-borderline (BB), borderline lepromatous (BL), and lepromatous leprosy (LL). TT leprosy showing strong cell mediated immunity is characterized by granulomatous skin lesions infiltrated predominantly by lymphocytes and epithelioid cells along with high secretion of the Th1 cytokines IL2, and IFN-γ in TT/BT lesions. Conversely, in BL/LL a high level of humoral immunity with a low level of cell mediated immunity is exhibited predominantly by macrophage granulomas with foamy macrophages with few lymphocytes, high levels of Treg cells along with numerous acid-fast bacilli and secretion of high levels of IL-4, IL-5 and IL-10.