@article{27248, keywords = {leprosy, Hospital}, author = {Rao KS and Moodalgiri M}, title = {Leprosy in a tertiary care hospital, Bagalkot, India: Clinical study and a reappraisal in the post-elimination era. }, abstract = {
Background: Leprosy is a chronic infectious disease caused by Mycobacterium Leprae. The disease mainly
affects the skin, and peripheral nerves. The prevalence far exceeds the elimination level in many states and
union territories.
Objectives: 1. To assess the profile of newly detected cases of leprosy.
2. To describe the histopathological profile and complications associated with the cases.
Settings and design: This was a Prospective study.
Materials and methods: The study was carried out for 12 months and it included 45 new cases.
Results: A total of 45 cases were registered during this period, 34 of them being males. Maximum number
of cases belonged to the age group of 20-39 years (46.66\%) and 40-59 years (26.67\%). 7(15.55\%) cases
were between 10-12 years of age. Borderline Tuberculoid (BT) was the commonest clinical type in 21(46.66
\%) patients. Mid borderline (BB) was seen in 3 (6.66\%), borderline lepromatous (BL) in 1(2.22\%) case,
Lepromatous leprosy (LL) in 10 (22.22\%), tuberculoid leprosy in 5 (11.11\%) cases and pure neural leprosy
(PNL) in 3(6.66\%) patients, whereas diagnosis of indeterminate leprosy was made in 2(4.44 \%) cases. Out of
all the 45 cases, 4(8.88\%) patients showed features suggestive of a lepra reaction, 2(2.22\%) of them being
type 1 and 2(2.22\%) showed features of type 2 reaction. 4(8.88\%) patients showed symptoms of neuritis. Slit
skin smear (SSS) was done in all patients, out of which, 11(24.4 \%) patients showed presence of Acid fast
bacilli [AFB] and 3(6.66\%) patients showed Bacillary Index [BI] of 6+.
Conclusion: Despite the statistical elimination of leprosy in this region, new cases continue to present in
alarming number.
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}, year = {2015}, journal = {Medica Innovatica}, volume = {4}, pages = {23-28}, url = {http://www.medicainnovatica.org/2015-Dec\%20Issue/Med\%20Inn\%20Dec\%202015_6.pdf}, language = {eng}, }