Sarker U K, Mohammad Q D, Uddin M J, Chowdhury R N, Bhattacharjee M, Mondol G, Roy N
Dr Uttam Kumar Sarker, Registrar, Department of Neurology, Mymensingh Medical College Hospital, Mymensingh, Bangladdesh.
Mymensingh Med J. 2014 Jul;23(3):435-40.
This study was aimed to identify the socio-demographic profile, to know the types and to find out the Slit Skin Smear (SSS) result associated with leprosy. It was a descriptive type of cross sectional study. Total 62 patients having clinical features of leprosy, attending in Department of Neurology of Mymensingh Medical College Hospital (MMCH) and Mymensingh Tuberculosis and Leprosy Hospital, Mymensingh from January 2010 to December 2011 were included. Patients underwent a detailed clinical evaluation followed by laboratory investigations. Out of 62 cases, the results showed that the mean age of leprosy patients were 37.8±14.6 years with the age range 12-80 years and the peak incidence was between 20-40 years. The frequency of male and female was 70.9% and 29.1% respectively with M: F of 2.4:1. From rural area 74.2% leprosy patients and 25.8% patients were from urban area and mainly day-labours (25.8%) and housewife (24.2%) by occupation. Married was 87.1% of patients and 12.9% were unmarried. Twenty one percent (21%) leprosy patients were found contact with leprosy. It was observed in this study that, 35.5% patients were PB (Pauci Bacillary) group and 64.5% of the patients were in MB (Multi Bacillary) group. Lepromatous Leprosy (LL) patients were (17.7%) and Borderline Lepromatous (BL) patients were (11.3%). Patients with Tuberculoid Type (TT) were (3.2%) and patients with Borderline Tuberculoid (BT) were (61.3%). The result of Slit skin smear (SSS) examination was negative in 59.7% patients and positive in 40.3%.
本研究旨在确定麻风病患者的社会人口学特征，了解其类型，并找出与麻风病相关的 slit skin smear（SSS，即皮肤涂片）结果。这是一项描述性横断面研究。纳入了2010年1月至2011年12月期间在迈门辛医学院医院（MMCH）神经内科以及迈门辛结核病和麻风病医院就诊的62例有麻风病临床特征的患者。患者接受了详细的临床评估，随后进行了实验室检查。在62例病例中，结果显示麻风病患者的平均年龄为37.8±14.6岁，年龄范围为12至80岁，发病高峰在20至40岁之间。男性和女性的比例分别为70.9%和29.1%，男女比例为2.4:1。74.2%的麻风病患者来自农村地区，25.8%的患者来自城市地区，职业主要为日工（25.8%）和家庭主妇（24.2%）。87.1%的患者已婚，12.9%未婚。21%的麻风病患者被发现有麻风病接触史。本研究观察到，35.5%的患者为PB（少菌型）组，64.5%的患者为MB（多菌型）组。瘤型麻风（LL）患者占（17.7%），界线类偏瘤型（BL）患者占（11.3%）。结核样型（TT）患者占（3.2%），界线类偏结核样型（BT）患者占（61.3%）。皮肤涂片（SSS）检查结果59.7%的患者为阴性，40.3%为阳性。
