Oral cavity and leprosy

Pallagatti, Shambulingappa; Sheikh, Soheyl; Kaur, Anupreet; Amit, Aggarwal; Singh, Ravinder Pal

doi:10.4103/2229-5178.96700

Cited by 26 publications

(15 citation statements)

References 17 publications

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“…About 75% cases of oral lesions seen on the anterior part of hard palate, shows a mean surface temperature of 27.4°C. [ 12 ] Based on this speculation, a pathophysiological mechanism has been suggested for the oral involvement as follows a nasal lesion with obstruction of the air flow leads to mouth breathing, which is very common in lepromatous leprosy. This causes a decrease in the intraoral temperature, mainly in sites near the air intake and in the anterior areas, thus allowing the harboring of the bacillus.…”

Section: Discussionmentioning

confidence: 99%

Leprosy of the hard palate: A rare case report

Bommanavar

Ingale²,

Ingale³

et al. 2018

J Oral Maxillofac Pathol

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Leprosy is a chronic granulomatous infection caused by Mycobacterium leprae, a bacillus that presents a peculiar tropism for the skin and peripheral nerves. Leprosy instigates various types of clinical presentation and exerts influence on the patient's immune response. The clinical gamut of leprosy ranges from the tuberculoid form (TT) to the disseminative and progressive lepromatous form (LL). Oral lesions are uncommon but, when present, occur in the lepromatous form and are broadly divided into nonspecific and specific lesions. In this article, we present a case of leprosy of the hard palate in a 25-year-old male. The case is been presented for its rarity.

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Section: Discussionmentioning

confidence: 99%

Leprosy of the hard palate: A rare case report

Bommanavar

Ingale²,

Ingale³

et al. 2018

J Oral Maxillofac Pathol

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“…Moreover, despite the fact that leprosy-specific symptoms in the oral mucosa are rare in recent or paucibacillary cases under active treatment 22 , this is the only type of lesion that may lead 25 to diagnosis of disease. Examination of the oral mucosa should, therefore, be an integral part of the clinical examination of leprosy patients because these lesions, along with nasal lesions, can be a source resulting in bacillus transmission in the community 26 .…”

Section: Discussionmentioning

confidence: 99%

Oral health conditions in leprosy cases in hyperendemic area of the Brazilian Amazon

Almeida

Ramos

Raposo

et al. 2017

Rev. Inst. Med. trop. S. Paulo

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Leprosy is a hyperendemic chronic condition in the Rondônia State . Despite the significant impact of oral health on the quality of life and clinical evolution of leprosy patients, systematic evaluation of oral health status has been neglected. To analyze the dental-clinical profile, self-perceived oral health and dental health service access of leprosy cases in the municipality of Cacoal in Rondônia State , North Brazil, from 2001 to 2012. A descriptive, cross-sectional study design was performed based on dental evaluation and standardized structured instruments. We investigated clinically assessed and self-perceived oral health status, as well as dental health service access. A total of 303 leprosy cases were included; 41.6% rated their oral health as good, and 42.6% reported being satisfied with their oral health. Self-reported loss of upper teeth was 45.5%. The clinical evaluation revealed that 54.5% had active caries. Most (97.7%) cases reported having been to the dentist at least once in their life and 23.1% used public health services. The poor standard of oral health in this population may increase the risk for leprosy reactions, consequently reducing quality of life. Low access to public health dental services and poor self-perceived oral health reinforce the need to achieve comprehensive health care in this population.

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“…25 Leprous involvement of the lips can present as a marked swollen and rigid appearance of the lips and hence cosmetically quite troublesome. 26 In addition, late type 1 reactions (also known as reversal reaction) are known to occur up to 7 years after completion of MDT, 27 which can keep the facial patches noticeable for months and years due to the associated erythema, in addition to hypopigmentation. When such lesions occur their visibility can lead to anticipated stigma in the patient, which refers to the fear of enacted stigma by society.…”

Section: Pe R Si Sten T Fac Ia L Pat C He S In Leprosymentioning

confidence: 99%

Cosmetic camouflage of visible skin lesions enhances life quality indices in leprosy as in vitiligo patients: an effective stigma reduction strategy

Rao¹,

Vellala²,

Potharaju³

et al. 2020

LEPROSY

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The use of cosmetic camouflage for blemishes on skin of affected people is known to improve their Dermatology Life Quality Index (DLQI). Although the use and benefits of cosmetic camouflage is known and reported in vitiligo, its value in leprosy, where visible skin lesions are a reason for stigma and discrimination, is yet to be explored. A key resolution of the WHO Global Leprosy Strategy 2016-2020 is to stop discrimination and promote inclusion of persons affected by leprosy into society. Improving the DLQI of leprosy patients with the use of cosmetic camouflage is an effort in that direction.Objectives: We undertook this study to examine the change brought about by cosmetic camouflage in the DLQI of leprosy patients with visible skin lesions and, to compare the results with its use in vitiligo, as both are disorders associated with pigment dilution in the skin. Methods: The DLQI score was calculated for 9 consenting leprosy and 14 vitiligo patients at the time of enrolment. All patients were taught the simple technique of cosmetic camouflage of their skin patches on exposed parts of the body, such as face and arms/forearms. The DLQI scoring was calculated again after one month of use of cosmetic camouflage and compared with the baseline value.Results: The mean DLQI improved significantly (p < 0.0001) after the use of cosmetic camouflage in both vitiligo and leprosy groups, indicating the efficacy of camouflage in improving the quality of life. In addition, it was observed that the mean improvement in DLQI was higher in the leprosy group (14.67 ± 3.87) than in the vitiligo group (8.64 ± 2.96), the difference being statistically significant (p < 0.05), suggesting that camouflage has a very high impact on the quality of life in leprosy. Conclusions: Leprosy-related stigma and discrimination are pervasive in almost all cultures of the world. Such stigma affects many aspects of social participation. The WHO global strategy document 2016-2020 advocates inclusion of at least one stigma reduction strategy in all leprosy programme plans. Use of cosmetic camouflage for

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Oral cavity and leprosy

Cited by 26 publications

References 17 publications

Leprosy of the hard palate: A rare case report

Leprosy of the hard palate: A rare case report

Oral health conditions in leprosy cases in hyperendemic area of the Brazilian Amazon

Cosmetic camouflage of visible skin lesions enhances life quality indices in leprosy as in vitiligo patients: an effective stigma reduction strategy

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