Study of clinico-epidemiological profile of leprosy patients at tertiary care centre of South Gujarat region
Keywords:Leprosy, Epidemiology, SMIMER
Background: Leprosy is a chronic feared illness causes by Mycobacterium leprae. It was eliminated as a public health problem in India in 2005. But still, India contributes more than 60% of all new cases of leprosy.
Methods: A retrospective analysis of 307 patients attending the leprosy clinic of the dermatology out patient department, SMIMER, was done for a period of five years from January 2014 to December 2018. The data was analysed for clinical and epidemiological characteristics of the patients.
Results: A total of 307 patients visited the leprosy clinic during the study period. More than half patients (60.3%) were between 21-40 years age group. There were 213 males and 94 females with male female ratio of 2.3:1. 72.3% (222) patients were suffering from multibacillary leprosy and 27.7% (85) had paucibacillary disease. Borderline tuberculoid leprosy was the most common type found in 83 patients (27.1%). 16 cases (5.2%) of childhood leprosy (less than 14 years of age) were noted. A total of 214 patients (69.7%) were migrants.
Conclusions: Despite of decline at global and national level, leprosy cases show gradual increase. The high proportion of total cases, MB cases, and grade 2 disability cases are warning signs. Continued efforts are required to manage and prevent the disease.
Global leprosy strategy 2016-2020: Accelerating towards a leprosy-free world. New Delhi, World Health Organization, Regional Office for South-East Asia, 2016.
Weekly Epidemiological Record No. 35. 2017;92:501-20.
Kurup R, Haynes U, Mentore G. A Study on Trends and Patterns of Leprosy in Guyana during a Ten period, 2007-2016. Indian J Lepr. 2018;90:207-16.
Miguel C, Gonzalez R. Clinical Profile of Leprosy Cases Registered in a Hospital in Paraguay, 2013 to 2015. Indian J Lepr. 2018;90:249-51.
Geetharani G, Pavithra G, Sathesh P. Clinico-Epidemiological Study of Untreated Multibacillary Leprosy Patients Visiting a Tertiary Care Hospital in Madurai. Indian J Lepr. 2018;90:197-206.
Adil M, Amin SS, Mohtashim M, Mushtaq S, Alam M, Priya A. Clinico-epidemiological study of leprosy from a North Indian tertiary care hospital. Int J Res Dermatol. 2018;4:518-21.
Jindal N, Shanker V, Tegta GR, Gupta M, Verma GK. Clinico-epidemiological trends of leprosy in Himachal pradesh: a five-year study. Indian J Lepr. 2009;81:173-9.
Tegta GR, Verma GK, Verma K. A Clinico-epidemiological Scenerio of Leprosy at a Tertiary Care Centre in Sub-Himalayan Region: A Seven Year Retrospective Study. Indian J Lepr. 2019;91:7-16.
Tiwary PK, Kar HK, Sharma PK. Epidemiological trends of leprosy in an urban leprosy centre of Delhi: A retrospective study of 16 years. Indian J Lepr. 2011;83:201-8.
Mahajan VK, Sharma NL, Rana P. Trends in detection of new leprosy cases at two centres in Himachal Pradesh, India: a ten-year study. Indian J Lepr. 2003;75:17-24.
Singh AL, Vagha SJ, Agarwal A. Current scenario of leprosy at tertiary care level hospital of rural central India. Indian J Dermatol Venerol Leprol. 2009;75:520-2.
Agrawal S, Bhuptani N. Clinico-histopathological Concordance in Leprosy patients-A study of 200 Cases. Indian J Lepr. 2018;90:147-53.
Kaur I, Dogra S, De D, Saikia UN. Histoid leprosy: a retrospective study of 40 cases from India. Br J Dermatol. 2009;160:305-10.
Chhabra N, Grover C, Singal A. Scenario at a Tertiary Level Hospital in Delhi: A 5-year Retrospective Study. Indian J Dermatol. 2015;60: 55-9.
Singal A, Sonthalia S, Pandhi D. Childhood leprosy in a tertiary-care hospital in Delhi, India: a reappraisal in the post-elimination era. Lepr Rev. 2011;82:259-69.
Patil AA, Sherkhane MS. Clinico-epidemiological study of Hansen’s disease patients attending a tertiary care centre in South India. Int J Community Med Public Health. 2016;3:3092-5.
Lasry LE, Hietaharju A, Pai V, Ganapati R, Andrew S, Rice C, et al. Neuropathic Pain and Psychological Morbidity in Patients with Treated Leprosy: A Cross-Sectional Prevalence Study in Mumbai. PLOS Neglected Trop Dis. 2011;5(3):981.