Clinico-epidemiological study of disability due to leprosy at the time of diagnosis among patients attending a tertiary care institution

Background: With the declared elimination of leprosy as a public health problem, the World Health Organization has shifted the focus on the disabilities and deformities associated with leprosy. Aims: The aim was to study the Grade 1 and Grade 2 disability among newly diagnosed leprosy patients. Mate...

Full description

Bibliographic Details
Main Authors: Vengarakath Puthiyapura Reyila, Ambookken Betsy, Najeeba Riyaz, Sarita Sasidharanpillai, Pentam Veil Beegum Sherjeena, Maniparambath P Majitha, Deepa Mary Joseph
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:Indian Journal of Dermatology
Subjects:
Online Access:http://www.e-ijd.org/article.asp?issn=0019-5154;year=2019;volume=64;issue=2;spage=106;epage=111;aulast=Reyila
_version_ 1817992599644930048
author Vengarakath Puthiyapura Reyila
Ambookken Betsy
Najeeba Riyaz
Sarita Sasidharanpillai
Pentam Veil Beegum Sherjeena
Maniparambath P Majitha
Deepa Mary Joseph
author_facet Vengarakath Puthiyapura Reyila
Ambookken Betsy
Najeeba Riyaz
Sarita Sasidharanpillai
Pentam Veil Beegum Sherjeena
Maniparambath P Majitha
Deepa Mary Joseph
author_sort Vengarakath Puthiyapura Reyila
collection DOAJ
description Background: With the declared elimination of leprosy as a public health problem, the World Health Organization has shifted the focus on the disabilities and deformities associated with leprosy. Aims: The aim was to study the Grade 1 and Grade 2 disability among newly diagnosed leprosy patients. Materials and Methods: All newly diagnosed leprosy patients attending the Outpatient Department of Government Medical College, Kozhikode, from January 1, 2013 to December 31, 2013 were included in the study and the Grade 1 and Grade 2 disabilities observed were analyzed. Results: During the 1-year period, 76 patients were diagnosed to have leprosy. Grade 1 and Grade 2 disabilities were noted in 31.6% and 17.1%, respectively. Major factors identified as risk for leprosy disability at the time of diagnosis were age >45 years, >5 skin lesions, ≥2 thickened peripheral nerve trunks, pure neuritic and borderline tuberculoid spectra of leprosy. Limitation: As the study was conducted in a tertiary care center, it does not perfectly indicate the status in the community. Conclusion: Disability noted in nearly 50% of leprosy cases at the time of diagnosis highlights the need to improve the effectivity of existing health-care system in early case detection and timely referral. In addition, it underscores the need to educate the affected regarding protective eye, foot, and hand care, so that progression to Grade 2 disability can be prevented.
first_indexed 2024-04-14T01:28:56Z
format Article
id doaj.art-36d23c83793a47389e6869d5f9f32b10
institution Directory Open Access Journal
issn 0019-5154
1998-3611
language English
last_indexed 2024-04-14T01:28:56Z
publishDate 2019-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Indian Journal of Dermatology
spelling doaj.art-36d23c83793a47389e6869d5f9f32b102022-12-22T02:20:17ZengWolters Kluwer Medknow PublicationsIndian Journal of Dermatology0019-51541998-36112019-01-0164210611110.4103/ijd.IJD_185_17Clinico-epidemiological study of disability due to leprosy at the time of diagnosis among patients attending a tertiary care institutionVengarakath Puthiyapura ReyilaAmbookken BetsyNajeeba RiyazSarita SasidharanpillaiPentam Veil Beegum SherjeenaManiparambath P MajithaDeepa Mary JosephBackground: With the declared elimination of leprosy as a public health problem, the World Health Organization has shifted the focus on the disabilities and deformities associated with leprosy. Aims: The aim was to study the Grade 1 and Grade 2 disability among newly diagnosed leprosy patients. Materials and Methods: All newly diagnosed leprosy patients attending the Outpatient Department of Government Medical College, Kozhikode, from January 1, 2013 to December 31, 2013 were included in the study and the Grade 1 and Grade 2 disabilities observed were analyzed. Results: During the 1-year period, 76 patients were diagnosed to have leprosy. Grade 1 and Grade 2 disabilities were noted in 31.6% and 17.1%, respectively. Major factors identified as risk for leprosy disability at the time of diagnosis were age >45 years, >5 skin lesions, ≥2 thickened peripheral nerve trunks, pure neuritic and borderline tuberculoid spectra of leprosy. Limitation: As the study was conducted in a tertiary care center, it does not perfectly indicate the status in the community. Conclusion: Disability noted in nearly 50% of leprosy cases at the time of diagnosis highlights the need to improve the effectivity of existing health-care system in early case detection and timely referral. In addition, it underscores the need to educate the affected regarding protective eye, foot, and hand care, so that progression to Grade 2 disability can be prevented.http://www.e-ijd.org/article.asp?issn=0019-5154;year=2019;volume=64;issue=2;spage=106;epage=111;aulast=ReyilaGrade 1 disabilitygrade 2 disabilityleprosy
spellingShingle Vengarakath Puthiyapura Reyila
Ambookken Betsy
Najeeba Riyaz
Sarita Sasidharanpillai
Pentam Veil Beegum Sherjeena
Maniparambath P Majitha
Deepa Mary Joseph
Clinico-epidemiological study of disability due to leprosy at the time of diagnosis among patients attending a tertiary care institution
Indian Journal of Dermatology
Grade 1 disability
grade 2 disability
leprosy
title Clinico-epidemiological study of disability due to leprosy at the time of diagnosis among patients attending a tertiary care institution
title_full Clinico-epidemiological study of disability due to leprosy at the time of diagnosis among patients attending a tertiary care institution
title_fullStr Clinico-epidemiological study of disability due to leprosy at the time of diagnosis among patients attending a tertiary care institution
title_full_unstemmed Clinico-epidemiological study of disability due to leprosy at the time of diagnosis among patients attending a tertiary care institution
title_short Clinico-epidemiological study of disability due to leprosy at the time of diagnosis among patients attending a tertiary care institution
title_sort clinico epidemiological study of disability due to leprosy at the time of diagnosis among patients attending a tertiary care institution
topic Grade 1 disability
grade 2 disability
leprosy
url http://www.e-ijd.org/article.asp?issn=0019-5154;year=2019;volume=64;issue=2;spage=106;epage=111;aulast=Reyila
work_keys_str_mv AT vengarakathputhiyapurareyila clinicoepidemiologicalstudyofdisabilityduetoleprosyatthetimeofdiagnosisamongpatientsattendingatertiarycareinstitution
AT ambookkenbetsy clinicoepidemiologicalstudyofdisabilityduetoleprosyatthetimeofdiagnosisamongpatientsattendingatertiarycareinstitution
AT najeebariyaz clinicoepidemiologicalstudyofdisabilityduetoleprosyatthetimeofdiagnosisamongpatientsattendingatertiarycareinstitution
AT saritasasidharanpillai clinicoepidemiologicalstudyofdisabilityduetoleprosyatthetimeofdiagnosisamongpatientsattendingatertiarycareinstitution
AT pentamveilbeegumsherjeena clinicoepidemiologicalstudyofdisabilityduetoleprosyatthetimeofdiagnosisamongpatientsattendingatertiarycareinstitution
AT maniparambathpmajitha clinicoepidemiologicalstudyofdisabilityduetoleprosyatthetimeofdiagnosisamongpatientsattendingatertiarycareinstitution
AT deepamaryjoseph clinicoepidemiologicalstudyofdisabilityduetoleprosyatthetimeofdiagnosisamongpatientsattendingatertiarycareinstitution