Clinico–epidemiological profile of patients of Hansen’s disease in a tertiary care centre in West Bengal
EPIDEMIOLOGY OF HANSEN’S DISEASE IN WEST BENGAL
DOI:
https://doi.org/10.66344/jpad.v33i3.2293Keywords:
Hansen's Infection, Borderline Tuberculoid, Reactions, DeformitiesAbstract
Objective To determine clinical patterns of Leprosy, to evaluate post disease complications, to establish clinico-bacteriological correlation, to analyse the demographic profile of the study group and to determine the changing trend in pattern in the disease if any.
Methods Ours was a cross sectional study and patients between 15 to 60 years of age, attending Dermatology, Venerology and Leprosy clinic, diagnosed with leprosy between April 2018 to March 2019, were included in study by convenient sampling and their demographic profile, history, general and dermatological examination were recorded and slit skin smear, biopsies were performed before arriving at final diagnosis.
Results Borderline tuberculoid (BT) was found to be the most common clinical type (57%), multibacillary leprosy was more prevalent than paucibacillary leprosy with ratio of 3:2, and type 1 reaction was more common in Borderline Tuberculoid and type 2 reactions in Lepromatous Leprosy. 76% patients had nerve involvement at the time of presentation, and 47% had visible deformities.
Conclusion In conclusion, when slit skin smear is not decisive and facilities for PCR are not accessible, a constellation of clinical and histological symptoms revealed to be crucial in the diagnosis of leprosy.
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