YES - major problem. Leprosy sx's depend on the severity of illness. Sx's may include: Thick, dry skin or growths on skin. Numbness of areas of skin that may be hypopigmented. Pain can be severe. Nose may be congested with nosebleeds. Voice can become hoarse. Incisor teeth may fall out. Light sensitivity, glaucoma & blindness. Ulcerations of legs, ankles & feet. Testicles atrophy w/ gynecomastia in males & v fertility.
And. It is the numbness that causes the deforming changes which occur. Patients cannot feel injuries, burns and thus disfiguring scarring lesions develop.Skin infections go unfelt and unnoticed. Leprosy only affects nerves outside the brain and spinal cord. Leprosy is very, very hard to 'catch' & is now curable. Other symptoms are muscle weakness and shiny pale skin sores. Extremely rare in usa.