Title: Clinical pattern of multiple deformities in leprosy patients, a Retrospective analysis in a tertiary care centre in South India
Authors: Ramya T, Kaviarasan PK, Poorana B, Prasad PVS, Kannambal K, Abhirami C
DOI: https://dx.doi.org/10.18535/jmscr/v7i10.80
Abstract
Background: Leprosy is eliminated from India in December 2005. But still leprosy cases with deformities are reported in developing countries. Multiple deformities are the major economical, social, and psycological problems in our country. In this situation, this study is undertaken to retrospectively analyse the various multiple deformities in hands, feet, and eyes in leprosy cases registered in our departmental records.
Material and Methods: This study was an observational study, conducted in the department of Dermatology, Venereology and Leprosy of Rajah Muthiah Medical college and hospital. Ethical clearance was sought from institutional ethical committee. A retrospective analytical departmental record based study was done in leprosy patients, All cases of leprosy registered during Jan 2014 to Dec 2018 were evaluated in this study.
Results: Out of 342 cases 154 cases diagnosed to have grade 2 deformity. Among these 154 cases 86 had multiple deformities. In our study with multiple deformities trophic ulcer with claw hand deformities (65.1%) were most commonly observed.
Conclusion: Multiple deformities were found in more than 25% of cases, with more number of grade 2 deformities. This warrants early diagnosis, prompt referral and management, and also education of the affected patients regarding protection of eyes, anaesthetic foot, and insensitive hands, to prevent progression of grade 1 deformities to grade 2 deformities.
Keywords: leprosy, multiple deformity.
References
- Jopling WH, Mc Dougall AC. Definition, Epidemiology and World Distribution. Hand book of Leprosy.5 thed. 1996: p 53-57.
- Dogra S, Narang T, Kumar B. Leprosy--evolution of the path to eradication [retracted in: Indian J Med Res. 2013 Dec;138(6):1038]. Indian J Med Res. 2013;137(1):15–35.
- Anil kumar, Sajid Husain, Brahma Nand Murthy. Burden of leprosy- related disability: Results of a population survey in two states in India. Lepr Rev(2018) 89, 353-361.
- Prasad PVS. Global scenario. In: Prasad PVS All about leprosy.2 ed jaypee brothers medical publishers (P) Ltd; 2016.p(9-15).
- Rao P N, Suneetha S. Current situation of Leprosy in India and its Future implications. Indian Dermatol online J 2018;9:83-9.
- Sarkar J, Dasgupta A, Dutt D. Disability among new leprosy patients, an issue of concern: An institutional based study in an endemic district for leprosyin the state of West Bengal, India. Indian J Dermatol Venrreol Leprol2012;78:328-34.
- Girishkumar R Ambade1, Anand J Asia2, Vaibhav N Tapre3.Trends And Types of Multiple Deformities in Leprosy: A .Retrospective Study Journal of Dental and Medical Sciences .Volume 15, Issue 6 Ver. IX (June. 2016), PP 15-19.