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Leprosy Scenario in Ahmedabad District (Gujarat)

BACKGROUND: In India, leprosy still continues to be one of the major public health problems and demands a continuous awareness for its eradication. The reduction of the load of infection is the cornerstone of leprosy control. AIMS: The aim of the present study was to enumerate the epidemiology of le...

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Autores principales: Uikey, Deepika, Joshi, Rima, Shah, Bela J, Verma, Nikhil
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6749760/
https://www.ncbi.nlm.nih.gov/pubmed/31543533
http://dx.doi.org/10.4103/ijd.IJD_496_18
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author Uikey, Deepika
Joshi, Rima
Shah, Bela J
Verma, Nikhil
author_facet Uikey, Deepika
Joshi, Rima
Shah, Bela J
Verma, Nikhil
author_sort Uikey, Deepika
collection PubMed
description BACKGROUND: In India, leprosy still continues to be one of the major public health problems and demands a continuous awareness for its eradication. The reduction of the load of infection is the cornerstone of leprosy control. AIMS: The aim of the present study was to enumerate the epidemiology of leprosy in the Ahmedabad district of Gujarat. METHODS: Three hundred new cases of leprosy (multidrug therapy cases) and patients who had completed antileprosy treatment and developed new signs and symptoms after that during the period from June 2010 to December 2012 were included in the study. A detailed history, clinical examination, and relevant tests were done. RESULTS: Out of a total of 300 patients, male-to-female ratio was 2.1:1. Family history was positive in 4.3% of patients. Lepromatous leprosy was seen in 27.3%, pure neuritic leprosy occurred in 12 (3.9%), and smear positivity was seen in (44.6%). Thirty (10%) patients developed type 1 reaction and 32 (10.6%) patients had type 2 reaction. Nearly 1.3% of the cases were relapsing cases. LIMITATIONS: The study had geographical limitation and the study did not cater the whole population but only the cases who reported to the hospital. Hence, the social stigma factor associated with leprosy could not be annulled. CONCLUSIONS: Leprosy still prevails and adequate knowledge and clinical skills, sensitive diagnostic tools and proper supply of medicines from the medical end and early reporting of symptoms, compliance regarding medicine intake, and social awareness to null social stigma associated with it from the patient's end may bring the country as a whole to the target of leprosy elimination.
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spelling pubmed-67497602019-09-20 Leprosy Scenario in Ahmedabad District (Gujarat) Uikey, Deepika Joshi, Rima Shah, Bela J Verma, Nikhil Indian J Dermatol Original Article BACKGROUND: In India, leprosy still continues to be one of the major public health problems and demands a continuous awareness for its eradication. The reduction of the load of infection is the cornerstone of leprosy control. AIMS: The aim of the present study was to enumerate the epidemiology of leprosy in the Ahmedabad district of Gujarat. METHODS: Three hundred new cases of leprosy (multidrug therapy cases) and patients who had completed antileprosy treatment and developed new signs and symptoms after that during the period from June 2010 to December 2012 were included in the study. A detailed history, clinical examination, and relevant tests were done. RESULTS: Out of a total of 300 patients, male-to-female ratio was 2.1:1. Family history was positive in 4.3% of patients. Lepromatous leprosy was seen in 27.3%, pure neuritic leprosy occurred in 12 (3.9%), and smear positivity was seen in (44.6%). Thirty (10%) patients developed type 1 reaction and 32 (10.6%) patients had type 2 reaction. Nearly 1.3% of the cases were relapsing cases. LIMITATIONS: The study had geographical limitation and the study did not cater the whole population but only the cases who reported to the hospital. Hence, the social stigma factor associated with leprosy could not be annulled. CONCLUSIONS: Leprosy still prevails and adequate knowledge and clinical skills, sensitive diagnostic tools and proper supply of medicines from the medical end and early reporting of symptoms, compliance regarding medicine intake, and social awareness to null social stigma associated with it from the patient's end may bring the country as a whole to the target of leprosy elimination. Wolters Kluwer - Medknow 2019 /pmc/articles/PMC6749760/ /pubmed/31543533 http://dx.doi.org/10.4103/ijd.IJD_496_18 Text en Copyright: © 2019 Indian Journal of Dermatology http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Uikey, Deepika
Joshi, Rima
Shah, Bela J
Verma, Nikhil
Leprosy Scenario in Ahmedabad District (Gujarat)
title Leprosy Scenario in Ahmedabad District (Gujarat)
title_full Leprosy Scenario in Ahmedabad District (Gujarat)
title_fullStr Leprosy Scenario in Ahmedabad District (Gujarat)
title_full_unstemmed Leprosy Scenario in Ahmedabad District (Gujarat)
title_short Leprosy Scenario in Ahmedabad District (Gujarat)
title_sort leprosy scenario in ahmedabad district (gujarat)
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6749760/
https://www.ncbi.nlm.nih.gov/pubmed/31543533
http://dx.doi.org/10.4103/ijd.IJD_496_18
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