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.
Patients were excluded from analysis if they did not have Hansen disease or information was not available in the electronic medical record.
Brazil, Cuba, Colombia, El Salvador, Ethiopia, Indonesia, Laos, Malaysia, Thailand, America Samoa, Sri Lanka, United States.
More than 6 lesions (mid-borderline leprosy, polar lepromatous leprosy, borderline lepromatous leprosy).
One to 5 lesions (indeterminate leprosy, polar tuberculoid leprosy, or borderline tuberculoid leprosy).
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.