Leprosy, still a burden! A retrospective study in a tertiary health care centre over recent 5 years

Background: Leprosy is a chronic mycobacterial infection. It presents with wide clinical variations. We come across many active and old cases in this area. Aim and Objectives: To analyse the clinical trend in Hansen's disease over five years in a tertiary health care centre. Material and Metho...

Full description

Bibliographic Details
Main Authors: Ritu Gujarati Vishwanath, Prasad Naik NM, Shankar Kunti, N Sudheer, Yashashree Dungarwal
Format: Article
Language:English
Published: Krishna Institute of Medical Sciences University 2023-01-01
Series:Journal of Krishna Institute of Medical Sciences University
Subjects:
Online Access:http://www.jkimsu.com/jkimsu-vol12no1/JKIMSU,%20Vol.%2012,%20No.%201,%20January-March%202023%20Page%2068-77.pdf
_version_ 1797789488409214976
author Ritu Gujarati Vishwanath
Prasad Naik NM
Shankar Kunti
N Sudheer
Yashashree Dungarwal
author_facet Ritu Gujarati Vishwanath
Prasad Naik NM
Shankar Kunti
N Sudheer
Yashashree Dungarwal
author_sort Ritu Gujarati Vishwanath
collection DOAJ
description Background: Leprosy is a chronic mycobacterial infection. It presents with wide clinical variations. We come across many active and old cases in this area. Aim and Objectives: To analyse the clinical trend in Hansen's disease over five years in a tertiary health care centre. Material and Methods: This is an observational retrospective record-based study. The duration of study was five years starting from April 2015 to March 2020. It included the data of leprosy patients who were registered in the Department of Dermatology, Venereology, Leprology in a tertiary health care centre. Results: A total of 1183 leprosy cases were seen. Most of the patients were aged 21-30 years 382 (32.2%), youngest being six years. Males exceeded females 828 (69.9%).There were 1046 new cases (88.41%). Borderline tuberculoid was the most common presentation 440 (37.19%). Multibacillary leprosy constituted 1138 (96.1%), 33 of them were children. Deformities were seen in 84 cases (7.1%), predominantly in borderline tuberculoid spectrum 45/84 cases, (53.5%), claw hand 38 cases (3.21%) being most common.60 (5.07%) of cases had reactions (Type 1 reaction, 1.52% < Type 2 reaction, 3.55%). Conclusion: Though India is in post elimination era of leprosy, multibacillary leprosy is still prevailing, being maximum in year 2019-2020, 340 (28.74%). Thirty three of them were children. This shows active transmission among our population and should be an area of concern to health care facilities and policy makers.
first_indexed 2024-03-13T01:51:22Z
format Article
id doaj.art-3cf5c11f46744f93b5bad97aa4d49d22
institution Directory Open Access Journal
issn 2231-4261
language English
last_indexed 2024-03-13T01:51:22Z
publishDate 2023-01-01
publisher Krishna Institute of Medical Sciences University
record_format Article
series Journal of Krishna Institute of Medical Sciences University
spelling doaj.art-3cf5c11f46744f93b5bad97aa4d49d222023-07-02T12:13:30ZengKrishna Institute of Medical Sciences UniversityJournal of Krishna Institute of Medical Sciences University2231-42612023-01-011216877Leprosy, still a burden! A retrospective study in a tertiary health care centre over recent 5 yearsRitu Gujarati Vishwanath0Prasad Naik NM1Shankar Kunti2N Sudheer3 Yashashree Dungarwal4Consultant Dermatologist, RiVa Skin and Plastic Surgery Clinic, Warangal-506001 (Telangana), IndiaDepartment of Dermatology Venereology and Leprosy, Osmania Medical College/General Hospital, Hyderabad-500095 (Telangana), IndiaDepartment of Dermatology Venereology and Leprosy, Osmania Medical College/General Hospital, Hyderabad-500095 (Telangana), IndiaDepartment of Dermatology Venereology and Leprosy, Osmania Medical College/General Hospital, Hyderabad-500095 (Telangana), IndiaDepartment of Dermatology Venereology and Leprosy, Osmania Medical College/General Hospital, Hyderabad-500095 (Telangana), IndiaBackground: Leprosy is a chronic mycobacterial infection. It presents with wide clinical variations. We come across many active and old cases in this area. Aim and Objectives: To analyse the clinical trend in Hansen's disease over five years in a tertiary health care centre. Material and Methods: This is an observational retrospective record-based study. The duration of study was five years starting from April 2015 to March 2020. It included the data of leprosy patients who were registered in the Department of Dermatology, Venereology, Leprology in a tertiary health care centre. Results: A total of 1183 leprosy cases were seen. Most of the patients were aged 21-30 years 382 (32.2%), youngest being six years. Males exceeded females 828 (69.9%).There were 1046 new cases (88.41%). Borderline tuberculoid was the most common presentation 440 (37.19%). Multibacillary leprosy constituted 1138 (96.1%), 33 of them were children. Deformities were seen in 84 cases (7.1%), predominantly in borderline tuberculoid spectrum 45/84 cases, (53.5%), claw hand 38 cases (3.21%) being most common.60 (5.07%) of cases had reactions (Type 1 reaction, 1.52% < Type 2 reaction, 3.55%). Conclusion: Though India is in post elimination era of leprosy, multibacillary leprosy is still prevailing, being maximum in year 2019-2020, 340 (28.74%). Thirty three of them were children. This shows active transmission among our population and should be an area of concern to health care facilities and policy makers.http://www.jkimsu.com/jkimsu-vol12no1/JKIMSU,%20Vol.%2012,%20No.%201,%20January-March%202023%20Page%2068-77.pdfclinical trendshansen's diseaseleprosy
spellingShingle Ritu Gujarati Vishwanath
Prasad Naik NM
Shankar Kunti
N Sudheer
Yashashree Dungarwal
Leprosy, still a burden! A retrospective study in a tertiary health care centre over recent 5 years
Journal of Krishna Institute of Medical Sciences University
clinical trends
hansen's disease
leprosy
title Leprosy, still a burden! A retrospective study in a tertiary health care centre over recent 5 years
title_full Leprosy, still a burden! A retrospective study in a tertiary health care centre over recent 5 years
title_fullStr Leprosy, still a burden! A retrospective study in a tertiary health care centre over recent 5 years
title_full_unstemmed Leprosy, still a burden! A retrospective study in a tertiary health care centre over recent 5 years
title_short Leprosy, still a burden! A retrospective study in a tertiary health care centre over recent 5 years
title_sort leprosy still a burden a retrospective study in a tertiary health care centre over recent 5 years
topic clinical trends
hansen's disease
leprosy
url http://www.jkimsu.com/jkimsu-vol12no1/JKIMSU,%20Vol.%2012,%20No.%201,%20January-March%202023%20Page%2068-77.pdf
work_keys_str_mv AT ritugujarativishwanath leprosystillaburdenaretrospectivestudyinatertiaryhealthcarecentreoverrecent5years
AT prasadnaiknm leprosystillaburdenaretrospectivestudyinatertiaryhealthcarecentreoverrecent5years
AT shankarkunti leprosystillaburdenaretrospectivestudyinatertiaryhealthcarecentreoverrecent5years
AT nsudheer leprosystillaburdenaretrospectivestudyinatertiaryhealthcarecentreoverrecent5years
AT yashashreedungarwal leprosystillaburdenaretrospectivestudyinatertiaryhealthcarecentreoverrecent5years