Atypical cinical manifestation of leprosy in Indonesian male adolescent: a case report

Samsudin, Dion Darius; Karyanti, Mulya Rahma

doi:10.14238/pi61.3.2021.175-8

Cited by 3 publications

(5 citation statements)

References 7 publications

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“…Morbus Hansen, also known as Leprosy is a chronic neglected tropical disease (NTD) caused by Mycobacterium lepra. [1][2][3][4][5] This disease primarily affects the skin and peripheral nervous system, upper respiratory tract mucosa, and eye. [1][2][3][4] This disease remains a crucial public health problem.…”

Section: Introductionmentioning

confidence: 99%

The Burden of Leprosy Reaction in the Post-Elimination Era: A Study from Gresik City, Indonesia

Kinanti,

Kurniati,

Faidati

2024

BIKK

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Background: The attention of leprosy management has shifted to reduce the burden of leprosy complications, including leprosy reactions. Leprosy reaction is the predominant cause of nerve impairment that leads to disability and lowers the quality of life of the affected. Purpose: The aim of this study was to provide primary data about leprosy reaction epidemiology, risk factor, and outcomes in the post-elimination era. Methods: A cross-sectional study was held in a general hospital in Gresik City, Indonesia, to give clinical demography, risk factors, and outcomes of leprosy reaction. Result: New leprosy reaction cases remain detected each year. There were 57 (58.8%) out of 97 leprosy patients who had a reactional episode. The incidence of leprosy reactions has been increasing in the last three years. The multibacillary (MB) group and type 2 reactions dominated leprosy reactions, which mostly occurred in the young adult population. Some of the leprosy reaction patients had developed a complication due to prolonged steroid usage. Conclusion: Leprosy cases in a young population with a high risk of developing reaction episodes need collaboration in the management to prevent deformity in youth.

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Section: Introductionmentioning

confidence: 99%

The Burden of Leprosy Reaction in the Post-Elimination Era: A Study from Gresik City, Indonesia

Kinanti,

Kurniati,

Faidati

2024

BIKK

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“…M. Leprae mainly affects the peripheral nervous system, skin, eyes, mucous membranes, bones, and testes (8). Early disease recognition and treatment will improve clinical output and prevent permanent disability (3,6,11,12).…”

Section: Introductionmentioning

confidence: 99%

“…Indonesia is one of three countries with the highest number of new cases detected after Brazil and India. Three of these countries account for 74% of all new cases detected (3,17). There remain endemic sheading areas of leprosy in Indonesia.…”

Section: Introductionmentioning

confidence: 99%

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Current Status of Leprosy in the Rural Area of North Gresik, Indonesia After Eliminated Status Achieved: “Is Leprosy Truly Eliminated?”

Kinanti¹,

Alinda²

2023

MJMHS

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Introduction: This study aims to provide the current situation of leprosy prevalence and clinical findings in one of the endemic regions of North Gresik City that has already achieved elimination status. Leprosy remains a public health problem in some developing countries, including Indonesia. Indonesia, with two other big countries, India and Brazil, contributed 74% of all the new leprosy cases detected. Even though Indonesia achieved the elimination target from WHO in 2018, the endemic pockets are still scattered, and new cases remain detected each year. Methods: This study is a one-decade retrospective analysis descriptive record based on newly diagnosed cases of leprosy from 2010 until 2020. We use total data sampling of all newly diagnosed leprosy cases and analyze using SPSS. Result: This study found that newly diagnosed cases of leprosy are still discovered each year. 15.7% of newly diagnosed cases were children. MB type was dominated type in this study. MB types are statistically significant in male subjects (35.5%) diagnosed more than one year after the symptoms appear. 40.7% were found with deformity when first diagnosed. Conclusion: This study reports a high rate of contracting leprosy disease in children, with 15.7% of cases. It indicates that disease transmission remains high in the community and might be out of control. The new cases diagnosed dominated with MB type, and 40.7% had deformity when first diagnosed. There was a delayed diagnosis reported that could be caused by ineffective surveillance for early diagnosing new cases.

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“…One of the causes of acute damage to nerve function is leprosy reactions. 2 Leprosy reactions can occur before treatment, especially during or after treatment. 3 Although the clinical picture, bacteria, histopathology, and precipitating factors of leprosy reactions are well known, and the exact cause is unknown.…”

Section: Introductionmentioning

confidence: 99%

Nerve Function Examination as a Screening for Prevention of Disability in Morbus Hansen at Kelet General Hospital, Central Java: A Case Report

Prihastomo

Sudaryanto

2022

OAIJMR

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Disability in leprosy or Morbus Hansen can be prevented by early diagnosis and regular and accurate treatment with multi-drug treatment. This study aimed to describe the examination of nerve function in preventing leprosy disability. In this case, a man, 21 years old, has a history of diagnosis of Morbus Hansen multibacillary type since five years ago. There are deformities in both hands and feet with red bumps. On neurological examination, there was anesthesia in hand with paralysis of the finger muscles causing claw hand. No reduction in muscle mass was seen. The patient found it difficult to move his left hand, especially on the 4th and 5th fingers. The range of motion (ROM) of the 4th and 5th fingers was limited. Examination of nerve function begins by palpating the auricular magnus, radial, ulnar, peroneus communis, and posterior tibial nerves. Motor and sensory examinations were carried out by examining the strength of the facial muscles, finger muscles, and wrist muscles. For the lower limbs, examine the muscles of the ankles and toes. In conclusion, early examination of disability and exercise therapy can help prevent disability and keep the condition of disability from getting worse.

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Atypical cinical manifestation of leprosy in Indonesian male adolescent: a case report

Cited by 3 publications

References 7 publications

The Burden of Leprosy Reaction in the Post-Elimination Era: A Study from Gresik City, Indonesia

The Burden of Leprosy Reaction in the Post-Elimination Era: A Study from Gresik City, Indonesia

Current Status of Leprosy in the Rural Area of North Gresik, Indonesia After Eliminated Status Achieved: “Is Leprosy Truly Eliminated?”

Nerve Function Examination as a Screening for Prevention of Disability in Morbus Hansen at Kelet General Hospital, Central Java: A Case Report

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