Neurological Manifestations in Leprosy: A Study in Tribal! Community of Hill Tracts
Journal Title: Journal of Enam Meical College - Year 2016, Vol 6, Issue 1
Abstract
Background: Leprosy is a chronic granulomatous infectious disease having major burden on humans over thousands of years. If untreated, it results in permanent damage to various systems and organs. So we designed this study to evaluate the neurological complications in early stage in adult leprosy patients. Objective: The aim of this study was to find out the pattern of neurological manifestations among adult leprosy patients. Materials and Methods: This cross-sectional hospital-based study on 85 adult tribal leprosy patients was conducted in a district level health care facility from January to December 2014 using simple, direct, standardized questionnaire including history and neurological examinations. Results: The commonest age group affected was 18–30 years (62.4%). Male group was predominant (68.2%). Majority cases (66%) had multibacillary leprosy. At first visit 72.7% cases with neurological findings could not be diagnosed correctly by primary health care personnel. More than six months were required for correct diagnosis in 61.2% cases. Numbness was the commonest (74.5%) neurological symptom. In upper limb, motor findings were predominant with wasting in 50.9% cases. In lower limb, sensory findings were predominant with stock pattern sensory impairment being the commonest (56.4%). Ulnar nerve was the commonest peripheral nerve to enlarge with tenderness. Facial nerve was the commonest cranial nerve involved. All cases with multiple cranial nerves involvement were of multibacillary type. Due to physical disability 92.7% cases lost their jobs. Conclusion: In this study neurological involvement was found associated with severe disability.
Authors and Affiliations
Ahmed Tanjimul Islam, Shamrin Sultana, Matiur Rahman, Md Azizul Hoque
Keywords
Related Articles
- EP ID EP36249
- DOI https://doi.org/10.3329/jemc.v6i1.26373
- Views 313
- Downloads 0
Milk -- An Effective Low-Attenuation Computed Tomography Oral Contrast Medium
Background: To evaluate gastrointestinal pathology in computed tomography (CT) scan, optimum distention, mural visualization and gastrointestinal tract discrimination are necessary. High attenuation oral contrast materia...
Serum Lipids and Diabetic Retinopathy in Newly Diagnosed Type 2 Diabetic Subjects
Background: Diabetic retinopathy is the commonest and usually the first observable vascular complication of diabetes mellitus. Along with hyperglycaemia, dyslipidaemia is a contributing factor for the occurrence of dia...
Juvenile Onset Clinically Amyopathic Dermatomyositis Presenting as Calcinosis Cutis
Dermatomyositis (DM) is an autoimmune inflammatory disorder characterized by involvement of muscles and skin. Classical dermatomyositis (CDM) patients display the hallmark cutaneous manifestations of dermatomyositis (DM...
Medication Errors Associated with Look-alike/Sound-alike Drugs: A Brief Review
The existence of confusing drug names is one of the most common causes of medication errors. There are many types of medication errors: wrong drug, wrong dose, wrong route of administration, wrong patient etc. Misreadi...
Eczema among the Outdoor Diabetic Patients of Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders (BIRDEM) Hospital, Dhaka
Background: Eczema is one of the important causes of public health problem. So, we conducted a study to assess the socio-demographic characteristics (age, sex, occupation, socio-economic condition, site of lesion, diab...