Clinico-epidemiological study of leprosy in a tertiary care hospital of Eastern India


  • Nisha Agrawal Department of Dermatology, School of Tropical Medicine, Kolkata, West Bengal, India
  • Tirtha Raj Saha Department of Dermatology, School of Tropical Medicine, Kolkata, West Bengal, India
  • Jayanta Kumar Barua Department of Dermatology, School of Tropical Medicine, Kolkata, West Bengal, India
  • Gautam Banerjee Department of Dermatology, School of Tropical Medicine, Kolkata, West Bengal, India
  • Kingshuk Chatterjee Department of Dermatology, School of Tropical Medicine, Kolkata, West Bengal, India
  • Saswati Halder Department of Dermatology, School of Tropical Medicine, Kolkata, West Bengal, India
  • Prabal Samanta Department of Dermatology, School of Tropical Medicine, Kolkata, West Bengal, India



Leprosy, Hansen’s disease, Tuberculoid, Lepromatous, Borderline, Histoid


Background: Accurate diagnosis of leprosy is of paramount importance, because delays and misdiagnosis are more common in non-endemic zones. It has a long incubation period, varied clinical presentations, and reaction states which can present in any point of lifetime, becoming more challenging for proper management of this enigmatous disease.

Methods: This was conducted as an institution based cross- sectional study over a period of 12 months. 100 patients were selected. Inclusion and exclusion criteria were maintained. Data collected was checked, tabulated, statistically analysed and compared with existing literature.

Results: In our study, majority, 49% belonged in age group of 41-60 yrs, only 6% were less than 20 years old. Male: female ratio was 3.34. 62% were from rural areas. Family history of Hansen was present in 5%. 6% had Histoid while 5% had pure neuritic representing least common subtypes. Most common occupations were Housewives (19%), shopkeepers (16%) and office workers (16%). 59% presented with hypoesthesia, 28% with fever. 59% belonged to borderline, 27% belonged to polar spectrum. Trophic ulcers were found in 20%, clawing of digits in 27%.

Conclusions: Leprosy is still a pressing problem in our country. A considerable number of children and adolescents get affected indicating high rate of transmission in community. A comprehensive approach includes proper diagnosis, treatment, and identification of reaction patterns, prevention of disability and deformities, and implementation of rehabilitation measures.


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