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Indian Journal of Clinical and Experimental Dermatology
Year : 2018, Volume : 4, Issue : 3
First page : ( 232) Last page : ( 236)
Print ISSN : 0000-000X. Online ISSN : 2455-6769.
Article DOI : 10.18231/2581–4729.2018.0049

A 5 year study of leprosy patients in a tertiary care centre

Mahajan Rashmi1, Ninama Kishan2,*, Jain Varun3, Bilimoria F.E4, Lakhani Som5

1Associate Professor, Dept. of Skin & VD, S.B.K.S. Medical Institute & Research Centre,Sumandeep Vidyapeeth University, Gujarat, India

2Associate Professor, Dept. of Skin & VD, S.B.K.S. Medical Institute & Research Centre, Sumandeep Vidyapeeth University, Gujarat, India

3PG Resident, Dept. of Skin & VD, S.B.K.S. Medical Institute & Research Centre, Sumandeep Vidyapeeth University, Gujarat, India

4Professor, Dept. of Skin & VD, S.B.K.S. Medical Institute & Research Centre, Sumandeep Vidyapeeth University, Gujarat, India

5Assistant Professor, Dept. of Skin & VD, S.B.K.S. Medical Institute & Research Centre, Sumandeep Vidyapeeth University, Gujarat, India

*Corresponding Author: Email: drkishanninama.dermatologist@gmail.com

Online published on 14 January, 2019.

Abstract

Introduction

The implementation of MDT has resulted in bringing the national prevalence down to elimination of less than 1/10, 000 in December 2005 and even further down to 0.66/10, 000 in 2016. This study highlights the demographic data, clinical features, reactions and deformities in leprosy patients; thereby bringing to light the public health importance of this simmering disease.

Materials and Methods

It is a retrospective study of leprosy patients in S.B.K.S Medical Institute & Research Centre, Piparia, Waghodia, Vadodara. Study-subjects included patients with leprosy who presented at dermatology OPD from 1st April 2013 & till 31st march 2018. Statistical analysis was done using percentages and tables.

Results

There were a total of 329 cases. 10 patients (3.03%) were in pediatric age group. Male preponderance with M: F ratio is 2.2: 1. Family history was seen in 8 patients (2.43%). 69.91% patients were from rural area. Clinically 8.38% patients had single patch, 90.57% had nerve involvement. The most common type was borderline tuberculoid leprosy (33.17%). Out of these 329 cases, 209 cases had completed the treatment, 89 were on treatment. 31 patients were defaulters.

Conclusion

Inspite of advent of MDT since 1981 and a multipronged approach by the government to eradicate the disease, we still continue to see new and inadequately treated cases; several of them land up in permanent deformities. Our study is only the tip of iceberg as several cases in the interiors of India still go untreated.

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Keywords

Leprosy, Deformity, Disability, Reactions, Erythema nodosum leprosum.

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