A CLINICAL STUDY OF PLANTAR ULCERS IN LEPROSY
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 48
Abstract
BACKGROUND Deformity prevention is one of the top priorities in leprosy elimination programme. Plantar ulcer and foot deformities are commonly seen in leprosy patients causing considerable physical disability. This can be prevented by early and regular MDT, proper practice of feet care, correction of deformities and management of infections. The study was to assess the above factors contributing to the development and recurrences of plantar ulcers among our leprosy patients. MATERIALS AND METHODS 66 leprosy patients with plantar ulcers were evaluated for delay of treatment, practice of feet care, site of ulcer, concomitant deformities and bone changes. Identification of infective agent is done by culture and sensitivity test. RESULTS Majority of patients belonged to the borderline spectrum. Delay in starting anti-leprosy treatment ranged from 2 months to 12 years. The main reasons for the delay in treatment are the patients ignored the lesions because they are asymptomatic or treatment with other modalities like homeo/ayurvedic drugs. 92% of patients studied were not practicing feet care. Common site of ulcer was beneath the heads of metatarsals and big toe. Foot drop was seen in 15% and claw toes in 33%. Osteomyelitis observed in 20% of patients. Common pathogen isolated was staphylococcus seen in 75% of cases followed by Streptococcus and Klebsiella. 50% of Staphylococci isolated were found to be penicillin resistant. CONCLUSION The occurrence of plantar ulcers and its complications are not an inevitable sequelae of leprosy and is totally preventable if appropriate measures are undertaken.
Authors and Affiliations
Lilakumari Subramoniam, Balachandran Parapattu Kunjukunju
Keywords
Related Articles
- EP ID EP220053
- DOI 10.18410/jebmh/2017/576
- Views 84
- Downloads 0
VARIABLE PRESENTATION OF ECTOPIC PREGNANCIES
Ectopic pregnancies can have varied presentations. They are common in reproductive aged women. Here, we report series of case reports of ruptured ectopic pregnancies whose clinical signs & symptoms included history of am...
SERUM URIC ACID ITS CORRELATION WITH OUTCOMES OF MYOCARDIAL INFARCTION
BACKGROUND The role of serum uric acid in cardiovascular and renal diseases has been intensively investigated. High serum uric acid has been indicated as a risk factor for CAD and as an independent prognostic factor of p...
A CASE REPORT ON CONGENITAL PROTEIN S DEFICIENCY PRESENTING AS NEONATAL PURPURA FULMINANS
PRESENTATION OF CASE A newborn delivered at 34 weeks of gestation was brought at 20 hrs. of life in view of development of 2 large ecchymotic patches over lower limbs. The newborn was preterm 2.2kgs and was delivered by...
PROFILE OF IMPACTED THIRD MOLAR IN THRISSUR POPULATION
BACKGROUND Impaction may be defined as the failure of complete eruption of tooth into the oral cavity. A tooth is considered impacted, when it has failed to fully erupt into the oral cavity, within the expected developme...
THE ROLE OF CSF PCR IN EARLY DIAGNOSIS OF TUBERCULAR MENINGITIS: A STUDY FROM BIDAR DISTRICT
The objective of this study was a study the clinical features and laboratory profile including acid fast bacillus microscopy, cerebrospinal fluid (CSF) culture and M tuberculosis polymerase chain reaction (PCR) for an ea...