The Correlation Between Leprosy Type and Grade of Disability in Leprosy Patients in Samarinda

Bungin, Cristian; Toruan, Vera Madonna Lumban; Riastiti, Yudanti

doi:10.30650/jik.v8i1.1268

Cited by 4 publications

(4 citation statements)

References 4 publications

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“…The most common complaint of G1D is loss of sensation (anesthesia) in the hands or feet. 8 Tropical ulcers were the most frequent deformity found in the study by Mangala in 2015-2018, as many as 37,6%. 4 Similar to our study, the most common deformity was an ulcer, found in 95 patients (34.5%).…”

Section: Discussionmentioning

confidence: 83%

Risk factors for disability in leprosy patients: a cross-sectional study

et al. 2022

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Background: The disability in leprosy is caused by M. leprae invasion and infiltration into the skin and the mucous membrane that results in nerve damage and deformities, loss of sensation, paralysis, and ocular manifestation. The risk of disability can be influenced by several factors, including the type of leprosy, disease duration, the number of nerves affected, leprosy reactions, gender, age, type of treatment, socioeconomic factors, and leprosy case detection methods. This study aimed to evaluate the risk factor of disability in leprosy patients. Methods: It was a cross-sectional retrospective analytical study to discover the correlation between risk factors with the grade of disability in leprosy patients who were treated in Dermatovenerology Outpatient Clinic Dr. Soetomo General Hospital Surabaya from 2017 to 2019. Result: This study found a total of 275 leprosy patients with disabilities, consisting of 76 patients (27,6%) with grade-1 disability and 199 patients (72,4%) with grade 2 disability. There was a statistically significant correlation between age (p=0,025), duration of disease (p=0,001), and multidrug therapy (MDT) history (p=0,001) with the incidence of disability. Gender, bacterial index, type of leprosy, and leprosy reaction were not significantly related to disability. Conclusion: This study showed that age, duration of disease, and the history of MDT treatment were related to the incidence of disability. The longer the disease's duration despite the patient having received MDT, the more risk of the patient having a disability.

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Section: Discussionmentioning

confidence: 83%

Risk factors for disability in leprosy patients: a cross-sectional study

et al. 2022

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“…Bungin's 2019 research in Samarinda showed that the most frequent complaint in patients with grade-2 disability was the presence of foot ulcers. 6 Tropical ulcers were the most frequent deformity found in the study by Mangala in 2015-2018 as many as 37.6%. 5 An increased incidence of plantar ulcers is repeated trauma in the majority of cases with anesthesia of the foot.…”

Section: Discussionmentioning

confidence: 85%

Profile of Disability in Leprosy Patients: A Retrospective Study

Geani

Rahmadewi

Astindari

et al. 2022

BIKK

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Background: Leprosy is a chronic granulomatous infectious disease caused by Mycobacterium leprae that affects peripheral nerves and skin. The interaction between M. leprae and Schwann cells causes irreversible damage to peripheral nervous tissue afterward disability occurs. Involvement of the major nervous trunks of the extremities can produce sensory-motor deficits. The risk factors are delay in diagnosis, gender, age, type of leprosy, duration of disease, number of affected nerves, leprosy reaction, type of treatment, socioeconomic factors, education, ethnicity, and occupation. Purpose: The aim was to study the profile of leprosy patients with disability who seek treatment in Leprosy Division Dermatovenerology Outpatient Clinic RSUD Dr. Soetomo Surabaya. Methods: This was a descriptive retrospective study of leprosy patients with disability from January 2017 to December 2019. Result: The results of this study obtained a total of 275 leprosy patients with disabilities, which consisted of 76 patients (27.6%) with grade-1 disability and 199 patients (72.4%) with grade-2 disability. The majority were male (73.4%) and aged 25-44 years old (42.2%). Other dominant risk factors were MB type leprosy (92%), duration of disease more than 12 months (52.3%), no leprosy reaction (68%), and had received multidrug therapy (45.5%). Conclusion: Knowledge of disability risk factors can assist in improving management and education to prevent disability in leprosy patients.

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“…Grade 0 indicates normal sensation with no visible impairments; Grade 1 indicates impaired sensation with no visible impairments; Grade 2 indicates visible impairments/deformity (Eye = lagophtalmos, ectropion, trichiasis, corneal opacity, and visual impairment ; hands = ulcerations, resorption, claw hand, fallen hand ; feet = trophic, resorption, claw foot, drop foot, ankle contracture). 14,15 Grade 1 assessment is really important. Because patients must have passed through the Grade 1 stage prior to entering Grade 2.…”

Section: Discussionmentioning

confidence: 99%

Epidemiology of Leprosy in Indonesia: a Retrospective Study

Prakoeswa

Lubis

Anum

et al. 2022

BIKK

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Background: According to WHO data, the number of new cases of leprosy has decreased in 2019. However, Indonesia continues to provide a significant number of cases. According to statistics, India, Brazil, and Indonesia account for 79 percent of all instances. Purpose: This study aims to describe the profile of leprosy patients, and involves all Dermatology and Venereology Academic Hospitals in Indonesia. Methods: This study was a retrospective study of 2461 patients from Dermatology and Venereology Outpatient Clinic at 13 Academic Hospitals in Indonesia between January 2018 and December 2020. Result: Subjects in this study were dominated by males (66.8%) and aged > 14 years (95.3%). The most common type of leprosy was multibacillary (MB) (86.2%), and erythema nodosum leprosum (ENL) was the most leprosy reaction (20.3%). Majority of the subjects experienced disability in the hands (26.6%), in grade 1. Conclusion: Leprosy cases in Indonesia are mostly experienced by adult males. The most common type of leprosy is MB, with ENL being the most common leprosy reaction. Grade 1 disability is the most prevalent, therefore proper education is necessary to keep patients from progressing to grade 2 disability.

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The Correlation Between Leprosy Type and Grade of Disability in Leprosy Patients in Samarinda

Cited by 4 publications

References 4 publications

Risk factors for disability in leprosy patients: a cross-sectional study

Risk factors for disability in leprosy patients: a cross-sectional study

Profile of Disability in Leprosy Patients: A Retrospective Study

Epidemiology of Leprosy in Indonesia: a Retrospective Study

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