Leprosy - Mumal Bakliwal

Download as pptx, pdf, or txt
Download as pptx, pdf, or txt
You are on page 1of 13

LEPROSY

CONTENT
• Introduction
• History
• Epidemiology
• Mode of transmission
• Clinical features
• Types/Classification
• Diagnosis
• Complications
• Treatment
• Pharmacist role
HISTORY

• Laprae was discovered by G.A Hansen in 1873


• It was the first bacterium to be identified as causing disease in ma.
• Treatment for leprosy only appeared in the late 1940s with the
introduction of dapsone and its derivatives .
EPIDEMIOLOGY

• Worldwide , 2 to 3 million people are estimated to be permanently disabled because of


leprosy
• India has the greatest number of cases.
• Brazil second
• Indonesia third

AGE :
• All ages from early infancy to very old age
• Youngest age reported is one and half month
SEX :
• Both male and female
• Male more than females

ENVIRONMENTAL FACTORS :
• Over crowding
• Humidity
• Malnutrition
• Elimination achieved in 2000
INCUBATION PERIOD

• The incubation period is long and variable


• The minimum incubation period cab be few weeks
• The maximum incubation period is 10-40 years
• Symptoms can be taken as long as 2 years to appear
CLASSIFICATION

Leprosy can be classified on the basis of clinical manifestations and skin smear
results.
1. PAUCIBACILLARY Leprosy (PB) : Based on skin smears, patients showing
negative smears at all sites are grouped as paucibacillary.
2. MULTIBACILLARY Leprosy (MB) : those showing positive smears at all
sites are grouped as multibacillary leprosy
TRANSMISSION

• Exact mechanism of transmission is not known


• Transmitted via droplets, from the nose and mouth, during close and frequent
contact with untreated cases
• Tattooing needles
• Genetic influence
• The disease isn’t highly contagious. However ,close ,repeated with an untreated
person for a long period of time can lead to contracting leprosy
CLINICAL FEATURES

• Leprosy is caused by an acid fast, rod shaped bacillus, mycobacterium laprae


• M. Leprae multiples very slowly
• Symptom can take as long as 20 years to appear
• Hypo pigmented patches appears
• Thickened nerves
• Skin lesions, eye damage
• Loss of cutaneous sensation
PATHOGENESIS

• Leprosy targets Schwann cell


• Causes anthesis muscle paralysis
• Repeated injuries to aesthetes areas leads to gradual destruction
• Infiltration of skin, subcutaneous lesions leads to formation of visible lesions
• A non specific or intermediate skin lesions is the first sing of disease
DIAGNOSIS

• Most commonly based on signs and symptoms


• In an endemic or an area , an individual should be regarded as having leprosy if he or she shows
on of the sign or symptom
• Consistent skin lesion, with or without thickened nerves
• Positives skin smears
• Sensory loss
 DIAGNOSIS : clinical examination
TREATMENT REGIMEN

Adults with multibacillary , MDT for 12 months


• Rifampicin (600 mg ) once a month
• Dapsone (100 mg ) once a day
• Clofazimine (50 mg ) one a day and (300 mg ) once a month
Adults with paucibacillary
• Rifampicin (600 mg ) once a month
• Dapsone (100 mg )once a day
THANK YOU
• Name – Mumal Bakliwal
• Enrollment Number – 190821203002

You might also like