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. 2019 Aug 7;155(10):1190–1192. doi: 10.1001/jamadermatol.2019.1732

Table. Demographics, Classifications, and Outcomes of Patients With Hansen Disease.

Characteristic Value
Demographics
Patients, No. (%)
Total 312
Excludeda 125 (40.1)
Included 187 (59.9)
Age at diagnosis, mean (SD) [range], y 35.7 (12) [7-75]
Sex, No. (%)
Male 130 (69.5)
Female 57 (30.5)
Race/ethnicity, No. (%) (n = 171)
Latino 99 (57.9)
Asian 45 (26.3)
Pacific Islander 11 (6.4)
Unknown/other 14 (8.2)
White 2 (1.2)
Country of origin, No. (%) (n = 132)
Mexico 69 (52.3)
Vietnam 14 (10.6)
The Philippines 13 (9.8)
India 8 (6.1)
China 5 (3.8)
Cambodia 5 (3.8)
Otherb 18 (13.6)
Delay in diagnosis (n = 23), median [range] >3 y [4-6 mo to >10 y]
Follow-up duration, mean (SD) [range], y 22.4 (14.0) [1-45]
Leprosy Classification, No. (%)
Ridley-Jopling
Polar lepromatous leprosy 10 (63.5)
Borderline lepromatous leprosy 41 (24.6)
Borderline tuberculoid leprosy 16 (9.6)
Polar tuberculoid leprosy 2 (1.2)
Indeterminate leprosy 1 (0.6)
Mid-borderline leprosy 1 (0.6)
WHO (n = 167)
Multibacillary leprosyc 148 (88.6)
Paucibacillary leprosyd 19 (11.4)
Reactional State, No. (%)
Erythema nodosum leprosum (n = 116) 86 (74.1)
Multibacillary leprosy with erythema nodosum leprosum (n = 86) 86 (100.0)
Paucibacillary leprosy with erythema nodosum leprosum (n = 86) 0
Delayed-type reversal reaction (n = 116) 27 (23.3)
Multibacillary leprosy with delayed-type reversal reaction (n = 27) 20 (74.1)
Paucibacillary leprosy with delayed-type reversal reaction (n = 27) 7 (25.9)
Lucio reaction (n = 116) 3 (2.6)
Multibacillary leprosy with Lucio reaction (n = 3) 3 (100.0)
Paucibacillary leprosy with Lucio reaction (n = 3) 0
Neuritis (n = 84) 31 (36.9)
Antibiotics Used, No. (%)
Multibacillary leprosy (n = 147)
1 26 (17.7)
2 47 (32.0)
3 50 (34.0)
4 20 (13.6)
>5 4 (2.7)
Paucibacillary leprosy (n = 19)
1 6 (31.6)
2 7 (36.8)
3 5 (26.3)
4 1 (5.3)
>5 0
Antibiotics Used in WHO Grade 0 Disability, No. (%)e
Multibacillary leprosy (n = 93)
1 26 (28.0)
2 33 (35.5)
3 24 (25.8)
4 8 (8.6)
>5 2 (2.2)
Paucibacillary leprosy (n = 13)
1 3 (23.1)
2 6 (46.2)
3 3 (23.1)
4 1 (7.7)
>5 0
Patient Outcome
WHO grade 0 disabilitye 106 (56.7)
WHO grade 1 disabilitye 30 (16.0)
WHO grade 2 disabilitye 49 (26.2)
Death related to Hansen disease 0

Abbreviation: WHO, World Health Organization.

a

Patients were excluded from analysis if they did not have Hansen disease or information was not available in the electronic medical record.

b

Brazil, Cuba, Colombia, El Salvador, Ethiopia, Indonesia, Laos, Malaysia, Thailand, America Samoa, Sri Lanka, United States.

c

More than 6 lesions (mid-borderline leprosy, polar lepromatous leprosy, borderline lepromatous leprosy).

d

One to 5 lesions (indeterminate leprosy, polar tuberculoid leprosy, or borderline tuberculoid leprosy).

e

Grade 0, no signs or symptoms suggestive of leprosy or disability for more than 1 year; grade 1, loss of protective sensation; grade 2, visible deformity.