Abstract
A Clinico epidemiological study of 208 patients of leprosy who sought medical advice at the Leprosy OPD of School of Tropical Medicine, Kolkata, during January 2016 – April 2016 is reported. Among all the cases, 94.2% were new cases, 3.8% were defaulters and 1.9% were having a relapse after completion of treatment. Around 59% of them had borderline tuberculoid type. An important finding was that prevalence of BL & LL cases before the age of 50 years is about 15.8% but beyond this age the prevalence rises to 47.6%. Depending on slit skin smear report 146 (70.2%) cases were multibacillary leprosy. The disease was found 2.3 times more often in males than in females and was found mainly in the age group 11-70 years. Lepra reactions were seen in 17 (8.17%) cases, of which 10 had type 1 reaction (58.8%) and 7 type 2 reaction (41.2%). Another significant finding was the occurrence of lepra reactions (both type I & II) in multibacillary type of leprosy (n=14) than in paucibacillary type. Among the 146 patients with multibacillary disease 42 (28.76%) developed deformity and most (80.95%) would have more severe and permanent deformities.
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