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HOME > ÇÐȸ°£Ç๰ >
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The Epidemiological Study of New Leprosy Patients during the Recent 10 Years(1987-1996) |
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Jong Woo Kim, Dong Seok Kim, Sang Won Kim, Ki Hong Kim#, Sung Hwa Kim## |
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Dept. of Dermatology, Catholic University of Taegu-Hyosung, Yeungnam University Medical College#, and Chilgok Catholic Dermatologic Clinic##, Taegu, Korea |
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1997 |
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30 |
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23 |
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Recently, the incidence of new leprosy patients has tended to decrease annually. The purpose of this study is to analyze the recent trends of new leprosy patients for eradicating the infection sources, thus preventing the spread of leprosy. Authors have reviewed all of the patients who were diagnosed as leprosy from January 1987 to December 1996 at Chilgok Catholic Dermatologic Clinic and the results are as follows. A total of 116 patients was diagnosed as leprosy at their first visit to the hospital. The sex ratio of male to female was 1.04:1. For overall onset, the highest incidence was in the 3rd decade accounted 21.6% of the cases, whereas the 6th decade showed the highest incidence at the time of visit. The mean age of new patients was 40.32¡¾18.52 years in males and 52.80¡¾16.20 years in females. The distributions of leprosy were 47.4% for lepromatous type, 31.9% for tuberculoid type, 19.0% for borderline group and 1.7% for indeterminate group. Compared with type and age distribution, the highest incidence in age group was 50-59 years for lepromatous and tuberculoid type and 30-39 years for borderline group. The sex ratio of male to female with the lepromatous type was 1.39:1. This was higher than that of the tuberculoid type in 0.95:1. The most common symptom and body site of disease at the onset were anesthesia and extremities. The distribution of present address and birth place was mainly in Kyeong Buk province. By the occupational distribution, jobless wanderer was most common, with next high in order being farmer. The AFB-positive rate among new patients was 56.8%, and the most prevalent bacterial index was 3.0-3.9. About 30% of new patients had family history of leprosy. The distributions of disability grading of patients were 85.3% for grade ¥°, 13.8% for ¥±, and 0.9% for ¥². Therefore, as the results of the epidemiological study of new leprosy patients during the recent 10 years, the incidence seemed to have tendency in decrease annually, giving the great prospect in the sociomedical respect. However, as the lepromatous type with high rate of bacterial index had about the half the patients and high rate of their family history was shown, the prevention of spread and treatment of leprosy patients as well as more positive leprosy campaign would be still needed. |
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