Case Definition and Clinical Types

Kumar, B. Vijay

doi:10.5005/jp/books/11431_12

Cited by 6 publications

(5 citation statements)

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“…The cardinal signs of leprosy includes; hypopigmented or erythematous skin lesion(s) with definite loss/impairement of sensations, involvement of peripheral nerves as demonstrated by definite thickening with sensory impairement and skin smear positive for acid-fast bacilli. 4 Indeterminate leprosy cases were excluded from the study. Detailed history taking and clinical examination was done.…”

Section: Methodsmentioning

confidence: 99%

Profile of childhood leprosy in a tertiary care centre in an endemic state of India

Pradhan¹,

Kumar²

2020

IJCED

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Introduction: Child cases of leprosy indicate early and continued transmission of infection and also serve as an epidemiological indicator of disease burden. Childhood leprosy may progress to disabilities with serious psychosocial impact on child and family. Materials and Methods: A cross-sectional study was undertaken in a tertiary care centre over a period of one and half year. Patients with age less than 14 years, having one of the cardinal signs of leprosy and giving consent for the study were included in the study. Detailed history taking, clinical examination and slit skin smear was performed and data were recorded in a predesigned case record form. Data were analysed statistically. Results: 32 of 581 cases (5.5%) of leprosy were children less than 14 years of age. Most common age group was 11 to 14 years. Male to female ratio was 2.5:1. Upper extremity was the most common site of lesions (46.87%). BT was the most common form (65.62%). PB cases (68.75%) were more common than MB. Nerve thickening was found in 87.5% cases, lepra reactions in 15.62% cases, disabilities in 12.5% cases and slit skin smear positivity in 25% cases. BCG scar was noted in 65.62% cases and history of contacts in 40.62% cases. Conclusion:Early diagnosis and treatment of child cases is necessary to reduce transmission of disease. High incidence of lepra reaction and disabilities in children in our study indicate prompt treatment of lepra reaction.

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Section: Methodsmentioning

confidence: 99%

Profile of childhood leprosy in a tertiary care centre in an endemic state of India

Pradhan¹,

Kumar²

2020

IJCED

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“…Patients were classified according to the current WHO classification based on number of skin lesions (for treatment purposes in the field) into paucibacillary (PB) leprosy (1-5 skin lesions) and multibacillary (MB) leprosy (6 or more skin lesions). 5 Any patient, who had a positive slit skin smear was considered as multibacillary leprosy irrespective of the number of lesions. All the patients were given paucibacillary (PB) therapy or multibacillary (MB) therapy depending upon the disease spectrum.…”

Section: Methodsmentioning

confidence: 99%

A 10 year retrospective analysis of Hansen’s disease patients in an urban leprosy centre of Himachal Pradesh

Rattan

Tegta

Sharma³

et al. 2017

Int J Community Med Public Health

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Background: Leprosy is a chronic disease caused by Mycobacterium leprae, which is a non culturable, slowly multiplying bacillus. The incubation period is variable and may take as long as twenty years for the symptoms to appear. It mainly affects the skin and peripheral nerves, but has a wide range of clinical presentations. The disease is associated with deformities and social stigma. Methods: Records of Hansen’s disease patients from January 2007 to December 2016 were taken and analysed retrospectively. A total of 288 patients were registered during this period. Results: Out of 288 registered patients, 78.8% were males and 21.2% were females. Maximum number of patients (62.15%) was in the age group of 20-40 years. Multibacillary patients constituted 86.11% and only13.88% were paucibacillary patients. 66.66% patients had grade 0 deformities, 22.56% had grade 1 deformities and 10.76% had grade 2 deformities. Conclusions: The study recommends that continuous efforts should be made for early detection of cases to prevent spread of disease in the community and to avoid development of deformities.

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“…There is near uniformity in the literature that saucer right way up lesion is seen in TT leprosy. [ 1 2 5 12 13 ] Similarly, it is widely agreed that infiltrated lesions of borderline lepromatous (BL) leprosy are centrally elevated and gradually slope towards the periphery. [ 1 4 9 12 13 ] Thus, it is clear that inverted saucer lesions are seen in BL leprosy.…”

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confidence: 99%

“…[ 1 2 5 12 13 ] Similarly, it is widely agreed that infiltrated lesions of borderline lepromatous (BL) leprosy are centrally elevated and gradually slope towards the periphery. [ 1 4 9 12 13 ] Thus, it is clear that inverted saucer lesions are seen in BL leprosy. Punched-out lesions or Swiss-cheese lesions are characteristic of borderline borderline (BB) leprosy.…”

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confidence: 99%

“…Punched-out lesions or Swiss-cheese lesions are characteristic of borderline borderline (BB) leprosy. [ 1 4 9 12 13 ] Of course, if we follow the Indian classification it would be correct to say that borderline leprosy can have both punched-out as well as the inverted saucer lesions. [ 2 4 ] Annular lesions with sharp inner and outer borders are also typical of borderline leprosy[ 2 ] most likely in BB.…”

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