Profile of childhood leprosy in a tertiary care centre in an endemic state of India
Journal Title: IP Indian Journal of Clinical and Experimental Dermatology - Year 2018, Vol 4, Issue 4
Abstract
Introduction Child cases of leprosy indicate early and continued transmission of infection and also serve as an epidemiological indicator of disease burden Childhood leprosy may progress to disabilities with serious psychosocial impact on child and familyMaterials and Methods A crosssectional study was undertaken in a tertiary care centre over a period of one and half year Patients with age less than 14 years having one of the cardinal signs of leprosy and giving consent for the study were included in the study Detailed history taking clinical examination and slit skin smear was performed and data were recorded in a predesigned case record form Data were analysed statisticallyResults 32 of 581 cases 55 of leprosy were children less than 14 years of age Most common age group was 11 to 14 years Male to female ratio was 251 Upper extremity was the most common site of lesions 4687 BT was the most common form 6562 PB cases 6875 were more common than MB Nerve thickening was found in 875 cases lepra reactions in 1562 cases disabilities in 125 cases and slit skin smear positivity in 25 cases BCG scar was noted in 6562 cases and history of contacts in 4062 casesConclusion Early diagnosis and treatment of child cases is necessary to reduce transmission of disease High incidence of lepra reaction and disabilities in children in our study indicate prompt treatment of lepra reactionKeywords Childhood Leprosy Lepra reaction Nerve thickening Disability
Authors and Affiliations
Dilip Kumar Sa, Krupasindhu Pradhan
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