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儿科麻风和结核:尼泊尔一所大学医院在消除后时代的报告。

Profiles of Pediatric Leprosy: A Report from a University Hospital of Nepal in the Post-Elimination Era.

机构信息

1B. P. Koirala Institute of Health Sciences, Dharan, Nepal.

2Department of Dermatology, Venereology and Leprology, B. P. Koirala Institute of Health Sciences, Dharan, Nepal.

出版信息

Am J Trop Med Hyg. 2021 Jan;104(1):219-222. doi: 10.4269/ajtmh.20-1135.

Abstract

Because pediatric leprosy strongly indicates continuous disease transmission in the community, knowing the profiles of pediatric leprosy is of great value for a leprosy-free world. We conducted this study to assess the clinical profiles of pediatric leprosy in Nepal. This retrospective study analyzed the 7-year record from 2011 to 2017. There were a total of 68 pediatric leprosy cases. Male (63.2%) cases outnumbered female cases. The minimum age of the leprosy-affected children was 6 years, with the mean age 12.17 (±1.95) years. Contact history was present in 26 (38.2%) children. Most of them (83.8%) had positive slit-skin smear. Lepra reaction was present in 14.7%. Nine had disability, with 4/9 (44.4%) of them having grade 2 disability. More than two-thirds (70.6%) were multi-bacillary cases. Some (2.9%) even had lepromatous leprosy. Leprosy continues to be a disease of concern in the post-elimination era even in the pediatric population.

摘要

由于小儿麻风和强提示在社区中的持续疾病传播,了解小儿麻风和强的特点对于一个无麻风和强的世界是非常有价值的。我们进行了这项研究,以评估尼泊尔小儿麻风和强的临床特征。这项回顾性研究分析了 2011 年至 2017 年的 7 年记录。共有 68 例小儿麻风和强病例。男性(63.2%)病例多于女性。受麻风和强影响的儿童的最小年龄为 6 岁,平均年龄为 12.17(±1.95)岁。26 例(38.2%)有接触史。他们中的大多数(83.8%)有阳性皮肤划痕。麻风反应阳性的有 14.7%。9 人有残疾,其中 4/9(44.4%)为 2 级残疾。超过三分之二(70.6%)为多菌型病例。甚至有些(2.9%)还有瘤型麻风。即使在儿童人群中,麻风和强在消除后时代仍然是一个令人关注的疾病。

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