@article{30055,
  keywords = {Bangladesh, diagnosis, Histopathology, leprosy, PCR, Ziehl-Neelsen Stain},
  author = {Alam MS and Shamsuzzaman S M and Mamun KZ},
  title = {Demograf{\'\i}a, presentaci{\'o}n cl{\'\i}nica y diagn{\'o}stico de laboratorio para la lepra por microscopio, histopatolog{\'\i}a, y PCR de la ciudad de Dhaka en Bangladesh},
  abstract = {<p><em>Background: </em>Recent data regarding demography, clinical presentation and molecular diagnosis of leprosy patients are lacking in Bangladesh.<br />
<em>Methods: </em>A cross sectional study on 55 leprosy cases of 16{\textendash}70 years old, both sexes was done. Ziehl-Neelsen (Z-N) stain, histopathology and PCR of skin specimens were done.<br />
<em>Results: </em>40\% patients were between 21{\textendash}30 years, mean age 34・5 years, male to female ratio was 2・9:1. Fourteen (25\%) patients were destitute, 11 (20\%) were housewives. 62\% patients had more than 5 skin lesions. 58\% had two and 36\% had single nerve involvement. Altogether 9 (16\%) were smear positive for AFB, 3 (33\%) were graded as 2+, 2 (22\%) as 3+ and 4 (44\%) as 4+. Histologically, 52 (95\%) showed features of leprosy, 14 (25\%) were diagnosed as tuberculoid and 5 (9\%) were lepromatous leprosy. In total, 40 (73\%) of 55 patients were positive by PCR. Thirty (88\%) of 34 multibacillary leprosy and 10 (48\%) of 21 paucibacillary leprosy patients were PCR positive. One of 3 histopathologically negative leprosy patients was PCR positive.<br />
<em>Conclusion: </em>Multiple skin lesions and multiple nerve involvement are the predominant features. For diagnosis of multibacillary leprosy, Z-N stain and for paucibacillary leprosy, PCR are suitable methods. In smear negative cases, results of histopathology may be suggestive, and PCR can give confirmatory results.</p>
},
  year = {2017},
  journal = {Fontilles},
  volume = {31},
  pages = {33-43},
  url = {https://www.leprosy-information.org/media/626/download},
  language = {spa},
}