02231nas a2200229 4500000000100000008004100001653001400042653001500056653003600071653001200107653001400119100001300133700001300146700001200159700001800171700001000189245006500199856010600264300001200370490000600382520161300388 2018 d10aDeformity10aDisability10aErythema nodosum leprosum (ENL)10aleprosy10aReactions1 aRashmi M1 aKishan N1 aVarun J1 aBilimoria F E1 aSom L00aA 5 year study of leprosy patients in a tertiary care centre uhttps://www.innovativepublication.com/journal-article-details/IJCED/article/7283/volume/173/issue/572 a232-2360 v43 a
Introduction
The implementation of MDT has resulted in bringing the national prevalence down to elimination of less than 1/10, 000 in December 2005 and even further down to 0.66/10, 000 in 2016. This study highlights the demographic data, clinical features, reactions and deformities in leprosy patients; thereby bringing to light the public health importance of this simmering disease.
Materials and Methods
It is a retrospective study of leprosy patients in S.B.K.S Medical Institute & Research Centre, Piparia, Waghodia, Vadodara. Study-subjects included patients with leprosy who presented at dermatology OPD from 1st April 2013 & till 31st march 2018. Statistical analysis was done using percentages and tables.
Results
There were a total of 329 cases. 10 patients (3.03%) were in pediatric age group. Male preponderance with M: F ratio is 2.2: 1. Family history was seen in 8 patients (2.43%). 69.91% patients were from rural area. Clinically 8.38% patients had single patch, 90.57% had nerve involvement. The most common type was borderline tuberculoid leprosy (33.17%). Out of these 329 cases, 209 cases had completed the treatment, 89 were on treatment. 31 patients were defaulters.
Conclusion
Inspite of advent of MDT since 1981 and a multipronged approach by the government to eradicate the disease, we still continue to see new and inadequately treated cases; several of them land up in permanent deformities. Our study is only the tip of iceberg as several cases in the interiors of India still go untreated.