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Grade 2 disability among leprosy patients: A pilot study from an endemic area of Central India

BACKGROUND AND AIM: Deformities and disabilities in leprosy lead to significant morbidity to the individual and financial burden to the family. As the prevalence of leprosy is higher in central India, this study was conducted to know the burden of deformity and disability among leprosy patients in c...

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Autores principales: Shravani, Bada, Ganguly, Satyaki, Shukla, Arvind K., Chhabra, Namrata, Prabha, Neel, Sachdev, Divya, Khare, Soumil
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9067199/
https://www.ncbi.nlm.nih.gov/pubmed/35516712
http://dx.doi.org/10.4103/jfmpc.jfmpc_1375_21
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author Shravani, Bada
Ganguly, Satyaki
Shukla, Arvind K.
Chhabra, Namrata
Prabha, Neel
Sachdev, Divya
Khare, Soumil
author_facet Shravani, Bada
Ganguly, Satyaki
Shukla, Arvind K.
Chhabra, Namrata
Prabha, Neel
Sachdev, Divya
Khare, Soumil
author_sort Shravani, Bada
collection PubMed
description BACKGROUND AND AIM: Deformities and disabilities in leprosy lead to significant morbidity to the individual and financial burden to the family. As the prevalence of leprosy is higher in central India, this study was conducted to know the burden of deformity and disability among leprosy patients in central India and the factors associated with it. MATERIALS AND METHODS: This was a hospital-based, cross-sectional study, conducted on 50 new or on treatment or released from treatment leprosy patients, attending the Dermatology OPD of a tertiary care institute in Central India. Disability was graded as per the WHO criteria for disability grading of hands and feet. RESULTS: Grade 2 disability was found among 32% of the patients with leprosy, whereas a total of 60% of our patients had either grade 1 or grade 2 disabilities. Trophic ulcer was found among 20% and claw hand among 14% of leprosy patients. We found significant associations of lepromatous leprosy with trophic ulcer (p = 0.004) and grade 2 disability (p = 0.012). All patients with claw hands and 80% of the patients with trophic ulcers presented to the healthcare facility at least 6 months after the onset of symptoms. CONCLUSIONS: We found very high rates of disability and deformity among leprosy patients indicating possible huge burden of morbidity among leprosy patients in central India. The significant association of lepromatous leprosy with trophic ulcer and grade 2 disability indicated delayed presentation and diagnosis of lepromatous leprosy patients. Our results underlined the need for large scale community-based studies on disability and deformity among leprosy patients in Central India. These results also call for better training of primary level healthcare workers for early detection and management of deformities and disabilities as well as better patient education for leprosy patients regarding hand and foot care.
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spelling pubmed-90671992022-05-04 Grade 2 disability among leprosy patients: A pilot study from an endemic area of Central India Shravani, Bada Ganguly, Satyaki Shukla, Arvind K. Chhabra, Namrata Prabha, Neel Sachdev, Divya Khare, Soumil J Family Med Prim Care Original Article BACKGROUND AND AIM: Deformities and disabilities in leprosy lead to significant morbidity to the individual and financial burden to the family. As the prevalence of leprosy is higher in central India, this study was conducted to know the burden of deformity and disability among leprosy patients in central India and the factors associated with it. MATERIALS AND METHODS: This was a hospital-based, cross-sectional study, conducted on 50 new or on treatment or released from treatment leprosy patients, attending the Dermatology OPD of a tertiary care institute in Central India. Disability was graded as per the WHO criteria for disability grading of hands and feet. RESULTS: Grade 2 disability was found among 32% of the patients with leprosy, whereas a total of 60% of our patients had either grade 1 or grade 2 disabilities. Trophic ulcer was found among 20% and claw hand among 14% of leprosy patients. We found significant associations of lepromatous leprosy with trophic ulcer (p = 0.004) and grade 2 disability (p = 0.012). All patients with claw hands and 80% of the patients with trophic ulcers presented to the healthcare facility at least 6 months after the onset of symptoms. CONCLUSIONS: We found very high rates of disability and deformity among leprosy patients indicating possible huge burden of morbidity among leprosy patients in central India. The significant association of lepromatous leprosy with trophic ulcer and grade 2 disability indicated delayed presentation and diagnosis of lepromatous leprosy patients. Our results underlined the need for large scale community-based studies on disability and deformity among leprosy patients in Central India. These results also call for better training of primary level healthcare workers for early detection and management of deformities and disabilities as well as better patient education for leprosy patients regarding hand and foot care. Wolters Kluwer - Medknow 2022-04 2022-03-18 /pmc/articles/PMC9067199/ /pubmed/35516712 http://dx.doi.org/10.4103/jfmpc.jfmpc_1375_21 Text en Copyright: © 2022 Journal of Family Medicine and Primary Care https://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
Shravani, Bada
Ganguly, Satyaki
Shukla, Arvind K.
Chhabra, Namrata
Prabha, Neel
Sachdev, Divya
Khare, Soumil
Grade 2 disability among leprosy patients: A pilot study from an endemic area of Central India
title Grade 2 disability among leprosy patients: A pilot study from an endemic area of Central India
title_full Grade 2 disability among leprosy patients: A pilot study from an endemic area of Central India
title_fullStr Grade 2 disability among leprosy patients: A pilot study from an endemic area of Central India
title_full_unstemmed Grade 2 disability among leprosy patients: A pilot study from an endemic area of Central India
title_short Grade 2 disability among leprosy patients: A pilot study from an endemic area of Central India
title_sort grade 2 disability among leprosy patients: a pilot study from an endemic area of central india
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9067199/
https://www.ncbi.nlm.nih.gov/pubmed/35516712
http://dx.doi.org/10.4103/jfmpc.jfmpc_1375_21
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