02193nas a2200349   4500000000100000008004100001260001300042653000900055653001500064653002500079653002000104653003000124653001100154653001500165653001100180653001000191653001200201653000900213653001600222653001500238653001900253100001300272700001200285700001500297700001200312700001300324245014400337300000900481490000700490520133200497022001401829       2010                            d  c2010 Feb10aAged10aAmputation10aCarcinoma, Verrucous10aChronic Disease10aCommunity Health Services10aFemale10aFoot Ulcer10aHumans10aJapan10aleprosy10aMale10aMiddle Aged10aRecurrence10aSkin Neoplasms1 aIshida Y1 aInoue T1 aTsuchiya I1 aMaeda M1 aHirano A00a[Two cases of leprosy related conditions and relevant issues on medical services for ex-leprosy patients who live in communities in Japan].  a3-100 v793 a<p>In Japan people affected by leprosy who were forced to admit to national leprosy sanatoria under leprosy prevention/segregation law (1953) have ever been promoted to return to live in community, after destruction of the law in 1996. In this paper two cases are shown with some comments who had already been discharged from leprosy sanatoria and came late to OPD of National Suruga Sanatorium for consultations of their leprosy related conditions. One case is a 60 year-old male who developed squamous cell carcinoma (SCC) from chronic planter ulcer. The other is a 69 year-old female who developed relapse after more than 20 years BI negativity. In these cases, periods until consultation to our clinic were one year and five months, and five years and five months respectively. One reason is that there is no follow-up system of leprosy related conditions for ex-patients in current medical service of Japan. Another reason may be that patients hesitated to consult local doctors for their leprosy related conditions. Since national leprosy sanatoria will come to be closed in near future, services should be available for leprosy related conditions, such as prevention of disability (POD), prevention of worsening disability (POWD), early detection of relapse and leprosy reaction, in general medical service of Japan.</p>  a1342-3681