Frequently Asked Questions (FAQs) on leprosy | HospitalKhoj

LEPROSY

LEPROSY

Ques. 1        Describe Leprosy?

Ans.             Leprosy (or Hansen’s disease) is a chronic infective Granulomatous disease due to a specific bacterial infection primarily of skin, mucous membrane and nerves.

The disease is transmitted through prolonged contact of a healthy person with patient. Spreads by direct contact or through the contaminated fomites. Causative organism is Mycobacterium Leprae. Children are more susceptible to leprosy than are the adults. Bacteria gain entrance into the human beings through the nasal mucosa or through skin.

Types : Two types –

  1. Tuberculoid, granuloma formation in the skin and nerves, less bacilli; giant cells, epitheloid cells are present, chronic course, less infectious.
  2. Cutaneous nodules; popular, and diffuse infiltrative lesions, plenty of lepra bacilli and lepra cell.

Cardinal signs of Leprosy:

  • Thickened nerves.
  • Presence of acid-fast bacilli (by examination of nasal scrapings or nodule under microscope).
    • Diminution or loss of sensation.

    Clinical features of Tuberculoid type:

  • May be complete of partial loss of hairs in the involved area.
  • Thickened cutaneous nerves may be associated with neuritic pain.
  • Gradually wasting of the muscles of hand is noticed.
  • In late stage, painless ulcer in the extremities, reabsorption of bone in distal part of hands and feet occur with the result of claw hands and claw feet.
  • Spontaneous amputation of the digits.
  • Enlarged lymph nodes.
  • Lesions on the face are usually analgesic.
  • Hypopigmented or erythematous dry (anhidropic) anaethetic or analgesic muscular patches in any part of the body.
  • Ques. 2        How can you manage a case of Leprosy?

    Ans.             Management :

    1. Surgical – (a) Lagophthalmos, temporalis muscles sling is done. (b) For claw hand, loss of adduction and flexion of the thumb and foot drop deformity – Free tendon grafts are done. (c) Trophic ulcer of the foot-best treated by excision of head and neck of the metatarsal over the ulcer.
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    2. Surgical – (a) Lagophthalmos, temporalis muscles sling is done. (b) For claw hand, loss of adduction and flexion of the thumb and foot drop deformity – Free tendon grafts are done. (c) Trophic ulcer of the foot-best treated by excision of head and neck of the metatarsal over the ulcer. (d) The ‘saddle back’ deformity of the nose is treated with postnasal epithelial inlay graft. (e) For depilation of eyebrows, ‘inland flap skin, is employed,
    3. Conservative – Antileprotic drugs, viz. Diaminidophenyl sulpohne (D.D.S.) or Diaphenylthiourea (D.P.D).
    .
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    Comments

    0 # Nishith 2020-01-13
    Hello, plz let me know Can gonorrhoea be transmitted to small children, should I consult with good maternity doctor in Perambalur
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    0 # Dr. Naresh 2020-01-15
    yes,this can be transmitted by infected mothers to children, In this case it is called as ophthalmia neonatorum, find list of good doctor-.Obstetrician in Perambalur
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    0 # Himmat Older than three months
    Hi, plz let me know What is the incubation period of Syphilis, also give me the list of good female's specialist in Chandauli ?
    Reply | Reply with quote | Quote
    0 # Dr. Pooja Older than three months
    Hii, The incubation period can be 10 to 90 days, plz find list of Gynecologist in Chandauli
    Reply | Reply with quote | Quote
    0 # Tushar Older than three months
    Hii, I am from Daman, plz let me know What is gonorrhoea ?
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    0 # Dr. Naresh Older than three months
    Hello, Gonorrhoea is a sexually transmitted disease caused by the Neisseria gonorrhoea,This disease is caused in the genitourinary tracts, for more details plz visit good gynec in Daman, find list of Gynecologist in Daman
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    0 # Harikiran Older than three months
    Hello, I am from Rampur, PLz suggest some biochemic remedies for gonorrhoea .
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    0 # Dr. Naresh Older than three months
    Kali Mur, Natrum Mur, Natrum Sulph, and silicea are few important biochemic emedies in homoeopathy which can be used safely in this case, you can also take advise from gynecologist given here-Gynecologist in Rampur.
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    0 # Jayesh Older than three months
    Hii can you plz tell me, Which fluids can cause or spread syphilis infection, alos give me the list of good gynec in Peren?
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    0 # Dr. Naresh Older than three months
    Infection from semen, blood or lactation milk can occur and cause syphilis, Infection from blood syringes is very common, Infected mothers can transmit it through their milk also, consult with good Gynecologist in Peren .
    Reply | Reply with quote | Quote
    0 # Nishith Older than three months
    Hello, I am from Chitrakoot, PLz suggest some biochemic remedies for gonorrhoea .
    Reply | Reply with quote | Quote
    0 # Dr. Naresh Older than three months
    Kali Mur, Natrum Mur, Natrum Sulph, and silicea are few important biochemic emedies in homoeopathy which can be used safely in this case, you can also take advise from gynecologist given here-Gynecologist in Chitrakoot.
    Reply | Reply with quote | Quote
    0 # Tushar Older than three months
    Hello, I am from Muthuramalingam, PLz suggest some biochemic remedies for gonorrhoea .
    Reply | Reply with quote | Quote
    0 # Dr. Naresh Older than three months
    Kali Mur, Natrum Mur, Natrum Sulph, and silicea are few important biochemic emedies in homoeopathy which can be used safely in this case, you can also take advise from gynecologist given here-Gynecologist in Muthuramalingam.
    Reply | Reply with quote | Quote
    0 # Vivaan Older than three months
    Hello, plz let me know Can gonorrhoea be transmitted to small children, should I consult with good maternity doctor in Raigad
    Reply | Reply with quote | Quote
    0 # Dr. Naresh Older than three months
    yes,this can be transmitted by infected mothers to children, In this case it is called as ophthalmia neonatorum, find list of good doctor-.Obstetrician in Raigad
    Reply | Reply with quote | Quote
    0 # Himmat Older than three months
    Hi, plz let me know What is the incubation period of Syphilis, also give me the list of good female's specialist in Jamtara ?
    Reply | Reply with quote | Quote
    0 # Dr. Naresh Older than three months
    Hii, The incubation period can be 10 to 90 days, plz find list of Gynecologist in Jamtara
    Reply | Reply with quote | Quote
    0 # Vivaan Older than three months
    Hello, plz tell me what are venereal diseases, can you plz suggest some good gynecologist in Sambalpur ?
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    0 # Dr. Naresh Older than three months
    veneral diseases are those which can be spread through sexual contact, The spreading agents can bacteria ,viruses etc, The examples are syphilis and gonorrhoea can be can spread by sexual contact, you can also find list of Gynecologist in Sambalpur.
    Reply | Reply with quote | Quote