Comorbidities associated with non- healing of plantar ulcers in leprosy patients.
Background Non-healing plantar ulcers are one of the significant causes of disability in leprosy patients. Plantar ulcers often take months or years to heal, affecting the patient's quality of life. Presence of comorbid conditions in these patients can delay wound healing. The study aimed to ev...
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ftdoajarticles:oai:doaj.org/article:8ec39381a243424fa399f4599c89adde 2023-05-15T15:10:52+02:00 Comorbidities associated with non- healing of plantar ulcers in leprosy patients. Brahmaiah Upputuri Aparna Srikantam Raja Sriswan Mamidi 2020-06-01T00:00:00Z https://doi.org/10.1371/journal.pntd.0008393 https://doaj.org/article/8ec39381a243424fa399f4599c89adde EN eng Public Library of Science (PLoS) https://doi.org/10.1371/journal.pntd.0008393 https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0008393 https://doaj.org/article/8ec39381a243424fa399f4599c89adde PLoS Neglected Tropical Diseases, Vol 14, Iss 6, p e0008393 (2020) Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2020 ftdoajarticles https://doi.org/10.1371/journal.pntd.0008393 2022-12-31T13:48:05Z Background Non-healing plantar ulcers are one of the significant causes of disability in leprosy patients. Plantar ulcers often take months or years to heal, affecting the patient's quality of life. Presence of comorbid conditions in these patients can delay wound healing. The study aimed to evaluate the role of associated comorbid conditions as risk factors in ulcer healing. Methodology/principal findings A total of 66 leprosy patients with plantar ulcers registered at LEPRA Society-Blue Peter Public Health and Research Center (BPHRC), Hyderabad, India from June 2018 to June 2019 were studied. Comprehensive clinical assessment was done, including screening for comorbid conditions and treated as per the recommended guidelines. About two-thirds of the participants were aged 50 and above, of which more than half were illiterates, and 93.5% were living below the poverty line. Majority of ulcers were seen on the forefoot; with the head of meta-tarsal bone 27 (41.6%) as the commonest site, followed by calcaneum 23 (38.3%) and great toe 10 (16.6%). Mean ulcer depth was 0.61 (0.57) cm, the area was 5.24 (6.73) cm2 and ulcer volume was 4.72 (14.33) cm3. Ulcer dimensions were significantly associated with low body mass index, hypertension and smoking. Conclusions/significance Identifying the risk factors delaying wound healing and detailed assessment of ulcers are of profound importance to predict the outcome of plantar ulcers in leprosy patients. The study findings indicate the need for better policies by the leprosy control program for the comprehensive management of plantar ulcers. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic PLOS Neglected Tropical Diseases 14 6 e0008393 |
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Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
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English |
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Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
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Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Brahmaiah Upputuri Aparna Srikantam Raja Sriswan Mamidi Comorbidities associated with non- healing of plantar ulcers in leprosy patients. |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
Background Non-healing plantar ulcers are one of the significant causes of disability in leprosy patients. Plantar ulcers often take months or years to heal, affecting the patient's quality of life. Presence of comorbid conditions in these patients can delay wound healing. The study aimed to evaluate the role of associated comorbid conditions as risk factors in ulcer healing. Methodology/principal findings A total of 66 leprosy patients with plantar ulcers registered at LEPRA Society-Blue Peter Public Health and Research Center (BPHRC), Hyderabad, India from June 2018 to June 2019 were studied. Comprehensive clinical assessment was done, including screening for comorbid conditions and treated as per the recommended guidelines. About two-thirds of the participants were aged 50 and above, of which more than half were illiterates, and 93.5% were living below the poverty line. Majority of ulcers were seen on the forefoot; with the head of meta-tarsal bone 27 (41.6%) as the commonest site, followed by calcaneum 23 (38.3%) and great toe 10 (16.6%). Mean ulcer depth was 0.61 (0.57) cm, the area was 5.24 (6.73) cm2 and ulcer volume was 4.72 (14.33) cm3. Ulcer dimensions were significantly associated with low body mass index, hypertension and smoking. Conclusions/significance Identifying the risk factors delaying wound healing and detailed assessment of ulcers are of profound importance to predict the outcome of plantar ulcers in leprosy patients. The study findings indicate the need for better policies by the leprosy control program for the comprehensive management of plantar ulcers. |
format |
Article in Journal/Newspaper |
author |
Brahmaiah Upputuri Aparna Srikantam Raja Sriswan Mamidi |
author_facet |
Brahmaiah Upputuri Aparna Srikantam Raja Sriswan Mamidi |
author_sort |
Brahmaiah Upputuri |
title |
Comorbidities associated with non- healing of plantar ulcers in leprosy patients. |
title_short |
Comorbidities associated with non- healing of plantar ulcers in leprosy patients. |
title_full |
Comorbidities associated with non- healing of plantar ulcers in leprosy patients. |
title_fullStr |
Comorbidities associated with non- healing of plantar ulcers in leprosy patients. |
title_full_unstemmed |
Comorbidities associated with non- healing of plantar ulcers in leprosy patients. |
title_sort |
comorbidities associated with non- healing of plantar ulcers in leprosy patients. |
publisher |
Public Library of Science (PLoS) |
publishDate |
2020 |
url |
https://doi.org/10.1371/journal.pntd.0008393 https://doaj.org/article/8ec39381a243424fa399f4599c89adde |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
PLoS Neglected Tropical Diseases, Vol 14, Iss 6, p e0008393 (2020) |
op_relation |
https://doi.org/10.1371/journal.pntd.0008393 https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0008393 https://doaj.org/article/8ec39381a243424fa399f4599c89adde |
op_doi |
https://doi.org/10.1371/journal.pntd.0008393 |
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PLOS Neglected Tropical Diseases |
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