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Patterns and trends of deformities in 215 leprosy patients in central karnataka,india

Authors:Mamatha S Kusagur
Int J Biol Med Res. 2012; 3(4): 2311-2312  |  PDF File

Abstract

Introduction: Deformity is defined as an alteration in the form, shape or appearance of the part of the body i.e., deformity is visible. Objective of the present study was to ascertain the correlation between socio-demographic factors and the pattern of deformities in them. Materials and method: The study was conducted for 3 years in 215 patients who were classified according to the consensus classification of the Indian Association of Leprologists and deformities as per WHO grading of deformity. Results: In 215 study subjects the overall deformity rate was 22.0%, where the prevalence of leprosy in general population is 0.78 per ten thousand in 2011 year. The most common type of leprosy being borderline (BT) type in our study accounted for 61.8% of all the cases. The most prevalent deformity is trophic ulceration comprising 54.38%, followed by claw hand deformity 24.56%. The deformities were more with BT Hansen’s i.e., 57.89%. The maximum deformities 33.33% were seen in the age group of 20-29 years followed by 28.07% in the age group > 50 years. The study included 70.69% of male patients and 29.30% of female which gives a M:F ratio of 2.3 :1. .The present study showed male patients had more deformities i.e., 75.44% and female patients suffered with 24.56% of deformities. In this study, illiterates were 44.65% and literates were 55.35%. Deformities were more in patients who were professionals by occupation (40.35%) as labourers, barbers, mason etc. with trophic ulceration (47.82%) and claw hand deformity (34.8%). Conclusion: While early detection and prompt treatment can prevent the onset of deformities, worsening of existing deformities may be prevented if patients are re-trained in their existing skills and taught preventive measures and use of devices.