CC BY-NC-ND 4.0 · J Neurosci Rural Pract 2014; 05(S 01): S028-S032
DOI: 10.4103/0976-3147.145197
Original Article
Journal of Neurosciences in Rural Practice

Leprosy elimination: A myth busted

Nidhi Yadav
Department of Dermatology, Venereology, Leprosy, Mahatma Gandhi Institute of Medical Sciences, Wardha, Maharashtra, India
,
Sumit Kar
Department of Dermatology, Venereology, Leprosy, Mahatma Gandhi Institute of Medical Sciences, Wardha, Maharashtra, India
,
Bhushan Madke
Department of Dermatology, Venereology, Leprosy, Mahatma Gandhi Institute of Medical Sciences, Wardha, Maharashtra, India
,
Digambar Dashatwar
Department of Dermatology, Venereology, Leprosy, Mahatma Gandhi Institute of Medical Sciences, Wardha, Maharashtra, India
,
Neha Singh
Department of Dermatology, Venereology, Leprosy, Mahatma Gandhi Institute of Medical Sciences, Wardha, Maharashtra, India
,
Kameshwar Prasad
Department of Dermatology, Venereology, Leprosy, Mahatma Gandhi Institute of Medical Sciences, Wardha, Maharashtra, India
,
Vikash Kesari
1  Department of Community Medicine, Mahatma Gandhi Institute of Medical Sciences, Wardha, Maharashtra, India
› Author Affiliations
Further Information

Address for correspondence:

Prof. Sumit Kar
Department of Dermatology, Venereology, Leprosy, Mahatma Gandhi Institute of Medical Sciences
Sewagram - 442 102, Maharashtra
India   

Publication History

Publication Date:
26 September 2019 (online)

 

ABSTRACT

Background: Leprosy is mainly a chronic infectious disease caused by Mycobacterium leprae. The disease mainly affects the skin, the peripheral nerves, mucosa of the upper respiratory tract and eyes. Though the target of leprosy elimination was achieved at national level in 2006 even then a large proportion of leprosy cases reported globally still constitute from India. Aim and Objective: To study the clinico-epidemiological profile of new cases of leprosy in a rural tertiary hospital. Materials and Methods: Thirty-five newly diagnosed cases of leprosy presented in out-patient/admitted in the department of Dermatology, Venereology and Leprosy (between September 2012 and August 2013) were included in the study. Detailed history regarding leprosy, deformity, sensory loss, skin smear for AFB and histopathological examination were done in every patient. Results: The incidence was more in age group of 20 to 39 years (48.57%) and 40 to 59 years (37.14%). 68.57% were males. 48.57% cases were found to have facial deformity and ear lobe thickening was found to be pre-dominant form of facial deformity. Ulnar (88.87%) and common peroneal nerve (34.28%) were the most commonly involved nerves. The split skin smear examination was found to be positive in 27 out of 35 cases. On histopathological examination 10 patients (28.57%) were of lepromatous pole (LL), 4 (11.43%) were of indeterminate, 6 (17.14%) were of tuberculoid type (TT), 4 BT (11.4%) and 1 BL type (2.8%). Conclusions: This study helps in concluding that leprosy is still not eliminated. Active surveillance is still needed to detect the sub-clinical cases and undiagnosed cases.


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Conflicts of interest

None declared.


Address for correspondence:

Prof. Sumit Kar
Department of Dermatology, Venereology, Leprosy, Mahatma Gandhi Institute of Medical Sciences
Sewagram - 442 102, Maharashtra
India