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Yang J, Li X, Sun Y, Zhang L, Jin G, Li G, Zhang S, Hou K, Li Y. Global epidemiology of leprosy from 2010 to 2020: A systematic review and meta-analysis of the proportion of sex, type, grade 2 deformity and age. Pathog Glob Health 2022; 116:467-476. [PMID: 35510339 PMCID: PMC9639561 DOI: 10.1080/20477724.2022.2057722] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
Abstract
The objectives of this study were to explore global epidemiological characteristics of leprosy, and to provide reference for the construction of prevention strategies for leprosy. Computer retrieval of the study on the epidemiology of leprosy from 2010 to 2020 in Web of Science, PubMed, and SCOPUS databases were summarized. The included studies were assessed for the quality of the AHRQ; the proportions of the study indices were meta-analyzed with Stata 16.0. A random effects model was adopted to merge categories, including sex, type, grade 2 deformity (G2D) and age group for meta-analysis. The subgroup analysis used region as a stratification factor to analyze whether there were differences in the indicators. The meta-analysis included 30 studies totaling 11,353 cases. The global pooled proportion of male to female subjects with leprosy was 63% (95% CI 59%, 66%) to 37% (95% CI 34%, 41%), respectively. The pooled multibacillary proportion and paucibacillary proportion were 69% (95% CI 62%, 76%) and 31% (95% CI 24%, 38%), respectively. The pooled grade 2 deformity (G2D) proportion was 22% (95% CI 15%, 30%). Among age groups, the pooled children proportion was 11% (95% CI 8%, 13%), and the pooled adult proportion was 89% (95% CI 87%, 92%). The subgroup analysis indicated that epidemiological indicators varied from country to country. This study suggested that disparities existed between sex, type, grade 2 deformity (G2D) and age group characteristics of leprosy from country to country.
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Affiliation(s)
- Jing Yang
- Department of Epidemiology and Health Statistics, School of Public Health, Southeast University, Dingjiaqiao, Nanjing, China
| | - Xiang Li
- Department of Epidemiology and Health Statistics, School of Public Health, Southeast University, Dingjiaqiao, Nanjing, China
| | - Yanqi Sun
- Department of Prevention and Health Care, Rizhao People's Hospital, Jiangxi Provincial, Rizhao, China
| | - Lianhua Zhang
- Department of Chronic Infectious Disease Control and Prevention, Jiangsu Provincial Center for Disease Control and Prevention, Jiangsu Province, Nanjing, China
| | - Guangjie Jin
- Department of Chronic Infectious Disease Control and Prevention, Jiangsu Provincial Center for Disease Control and Prevention, Jiangsu Province, Nanjing, China
| | - Guoli Li
- Department of Chronic Infectious Disease Control and Prevention, Jiangsu Provincial Center for Disease Control and Prevention, Jiangsu Province, Nanjing, China
| | - Shunyu Zhang
- Department of Epidemiology and Health Statistics, School of Public Health, Southeast University, Dingjiaqiao, Nanjing, China
| | - Kunchi Hou
- Department of Epidemiology and Health Statistics, School of Public Health, Southeast University, Dingjiaqiao, Nanjing, China
| | - Yunhui Li
- Department of Epidemiology and Health Statistics, School of Public Health, Southeast University, Dingjiaqiao, Nanjing, China
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Bandeira SS, Pires CA, Quaresma JAS. Leprosy Reactions In Childhood: A Prospective Cohort Study In The Brazilian Amazon. Infect Drug Resist 2019; 12:3249-3257. [PMID: 31802916 PMCID: PMC6802621 DOI: 10.2147/idr.s217181] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2019] [Accepted: 08/08/2019] [Indexed: 11/29/2022] Open
Abstract
Background and objective In highly endemic areas, severe multibacillary forms of leprosy and reactional episodes are not rare in children. The objective of the present study was to describe the clinical and epidemiological aspects of leprosy reactions in children from the Brazilian Amazon. Methods This was a prospective cohort study of 34 leprosy patients aged under 15 years diagnosed at a health referral unit in northern Brazil between April 2014 and June 2015. Follow-up medical consultations were performed during multidrug therapy (MDT) and one year after the end of treatment. Participants underwent a simple neurologic examination and answered a structured questionnaire. Results Of the 34 recruited patients, 18 (52.9%) had leprosy reactions and/or neuritis. Among these, 10 (55.6%) had reactions at diagnosis, 13 (72.2%) had reactions after MDT, and 14 (77.8%) had two or more reactional episodes. Type I reactions occurred in 14 (77.8%) cases. Complications, such as disabilities, necrotizing erythema nodosum, or Cushing’s syndrome, occurred in six (33.3%) patients. The following variables showed significant associations (p ≤ 0.05) with leprosy reactions: age 8–14 years, number of doctors seen (≥3), multibacillary classification, number of skin lesions (≥10), or borderline and lepromatous clinical forms. The high frequency of type I reactions resulted in prolonged corticosteroid therapy, which may cause deficient bone maturation in childhood. Conclusion Older age in children, consulting many physicians for diagnosis, severe clinical forms, and numerous skin lesions were positively associated with reaction development. Reactions after MDT highlight the need for continuity in healthcare of children with leprosy.
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Affiliation(s)
- Sabrina Sampaio Bandeira
- Sanitary Dermatology Referral Unit "Dr. Marcello Cândia", Secretary of State for Public Health, Marituba, PA, Brazil.,Tropical Medicine Center, Federal University of Para, Belem, PA, Brazil
| | - Carla Avelar Pires
- Tropical Medicine Center, Federal University of Para, Belem, PA, Brazil.,Center of Health and Biological Sciences, State University of Para, Belem, PA, Brazil
| | - Juarez Antonio Simões Quaresma
- Tropical Medicine Center, Federal University of Para, Belem, PA, Brazil.,Center of Health and Biological Sciences, State University of Para, Belem, PA, Brazil
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de Oliveira AJM, Sterman H, Martins RS, Foroni LH, Siqueira MG. A rare cause of ulnar nerve entrapment at the elbow in a patient with leprosy. Autops Case Rep 2019; 9:e2019096. [PMID: 31372358 PMCID: PMC6629264 DOI: 10.4322/acr.2019.096] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2019] [Accepted: 05/15/2019] [Indexed: 12/02/2022]
Affiliation(s)
- Adilson José Manuel de Oliveira
- Universidade de São Paulo (USP), Faculty of Medicine, Hospital das Clínicas, Institute of Psychiatry, Peripheral Nerves Group. São Paulo, SP, Brazil.,Clínica Girassol, Neurosurgery Department. Luanda, Angola
| | - Hugo Sterman
- Universidade de São Paulo (USP), Faculty of Medicine, Hospital das Clínicas, Institute of Psychiatry, Peripheral Nerves Group. São Paulo, SP, Brazil
| | - Roberto Sérgio Martins
- Universidade de São Paulo (USP), Faculty of Medicine, Hospital das Clínicas, Institute of Psychiatry, Peripheral Nerves Group. São Paulo, SP, Brazil
| | - Luciano Henrique Foroni
- Universidade de São Paulo (USP), Faculty of Medicine, Hospital das Clínicas, Institute of Psychiatry, Peripheral Nerves Group. São Paulo, SP, Brazil
| | - Mário Gilberto Siqueira
- Universidade de São Paulo (USP), Faculty of Medicine, Hospital das Clínicas, Institute of Psychiatry, Peripheral Nerves Group. São Paulo, SP, Brazil
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Silva Rezende da Silva J, Proença Palmeira I, Margareth Moita Sá A, Vidal Nogueira LM, Rodrigues Ferreira AM. Variáveis clínicas associadas ao grau de incapacidade física na hanseníase. REVISTA CUIDARTE 2018. [DOI: 10.15649/cuidarte.v10i1.618] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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