01679nas a2200289 4500000000100000008004100001260000900042653001000051653001200061653002200073653001100095653001100106653001400117653001200131653000900143653001600152653001500168100001500183700001300198700001100211700001800222245003900240300000900279490001600288520107100304022001401375 2003 d c200310aAdult10aAustria10aDisease Outbreaks10aFemale10aHumans10aIncidence10aleprosy10aMale10aMiddle Aged10aPrevalence1 aPfausler B1 aBösch S1 aSepp N1 aSchmutzhard E00a[Multibacillary leprosy in Tyrol]. a72-50 v115 Suppl 33 a

Five cases of multibacillary leprosy have been diagnosed in a period of 15 years (1987-2001) at the outpatient Department of Neurology of the University Hospital Innsbruck. All patients presented with dermatological and mild to severe polyneuropathic signs and symptoms. 4/5 patients recovered fully, whereas 1 patient with an initially severe polyneuropathy showed persistent polyneuropathy as long-term sequela. The prevalence of leprosy in the catchment area of the Department of Neurology, University Hospital Innsbruck (comprising the entire province of Tyrol--650,000 inhabitants) is to be calculated as 0.5/1 million. The incidence of newly diagnosed leprosy within this province of Tyrol is 0.04/100,000/year. The aim of the presentation of these 5 patients is--beside the epidemiologic aspect--to alert all neurologists and dermatologists that this disease still exists--despite decreasing prevalence and incidence rates on a global scale; this is of particular importance since neurological long-term sequelae can only be avoided by early diagnosis.

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