Physical deformity of leprosy patients in Dr. Moewardi General Hospital Surakarta: A retrospective study
DOI:
https://doi.org/10.66344/jpad.v33i3.2239Keywords:
deformities grade 2, grade 2 disability, leprosy, MB MDTAbstract
Background The presence of physical deformities in patients with leprosy reflects the rate of disease transmission in the community, delay in detection, and ineffective treatment.
Methods This retrospective study was conducted using medical record data of leprosy patients visiting Dr. Moewardi General Hospital Surakarta from January 1, 2016, to December 31, 2019.
Results During the study period, there were 141 leprosy patients. The most common type of leprosy was lepromatous leprosy (46.7%), affecting 77 patients who also had physical deformities, which 12.9% of them were newly detected, 32.5% had the deformity during the treatment, and 54.5% after the treatment. Based on WHO disability grading, most of them were in grade 2, with the most affected area in hands (25.9%) in the form of finger deformity and claw hand followed by legs (22.1%) in the form of the ulcer; both legs and hands (15.6%) in the form of finger and toe deformity; face (5.2%) in the form of madarosis and nasal deformity; face, hand, and leg (1.3%). Most of these patients had no leprosy reaction (77.9%). The most common therapy given was MB MDT (90.9%).
Conclusion The majority of leprosy patients have physical deformities despite undergoing complete treatment. Therefore it is necessary to follow up with the patients regularly even after completing the therapy.
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Copyright (c) 2023 Nur M Rachmat Mulianto, Fatimah Fitriani, Budi Eko Prasetyorini, Rieska Widyaswari, Sesia Pradestine, Lifesia Natali Lidjaja
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