Neurological Manifestations in Leprosy: A Study in Tribal Community of Hill Tracts

Authors

  • Ahmed Tanjimul Islam Medical Officer, Rangamati Sadar Hospital, Rangamati
  • Shamrin Sultana Medical Officer, Rangamati Sadar Hospital, Rangamati
  • Matiur Rahman Associate Professor, Department of Neurology, Sylhet MAG Osmani Medical College & Hospital, Sylhet
  • Md Azizul Hoque Associate Professor, Department of Medicine, Rajshahi Medical College & Hospital, Rajshahi

DOI:

https://doi.org/10.3329/jemc.v6i1.26373

Keywords:

Leprosy, Numbness, Neuropathy, Disability

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 1830 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.

J Enam Med Col 2016; 6(1): 10-14

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Author Biography

Ahmed Tanjimul Islam, Medical Officer, Rangamati Sadar Hospital, Rangamati



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Published

2016-02-09

How to Cite

Islam, A. T., Sultana, S., Rahman, M., & Hoque, M. A. (2016). Neurological Manifestations in Leprosy: A Study in Tribal Community of Hill Tracts. Journal of Enam Medical College, 6(1), 10–14. https://doi.org/10.3329/jemc.v6i1.26373

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Original Articles