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Comorbidities associated with non- healing of plantar ulcers in leprosy patients

Upputuri, Brahmaiah ; Srikantam, Aparna ; Mamidi, Raja Sriswan Franco-Paredes, Carlos

PLoS neglected tropical diseases, 2020-06, Vol.14 (6), p.e0008393-e0008393 [Periódico revisado por pares]

San Francisco: Public Library of Science

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Título:
Comorbidities associated with non- healing of plantar ulcers in leprosy patients
Autor: Upputuri, Brahmaiah ; Srikantam, Aparna ; Mamidi, Raja Sriswan
Franco-Paredes, Carlos
Assuntos: Anemia ; Biology and Life Sciences ; Body mass ; Body mass index ; Body size ; Care and treatment ; Comorbidity ; Complications and side effects ; Diabetes ; Dimensions ; Fasting ; Foot ; Foot ulcer ; Health ; Hemoglobin ; Hypertension ; Lepers ; Leprosy ; Medicine and Health Sciences ; Plantar ulcers ; Poverty ; Pressure ulcers ; Prognosis ; Public health ; Quality of life ; Research facilities ; Risk analysis ; Risk factors ; Skin ; Smoking ; Software ; Tarsal bone ; Ulcers ; Variables ; Wound healing
É parte de: PLoS neglected tropical diseases, 2020-06, Vol.14 (6), p.e0008393-e0008393
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The authors have declared that no competing interests exist.
Descrição: 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) cm.sup.2 and ulcer volume was 4.72 (14.33) cm.sup.3 . 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.
Editor: San Francisco: Public Library of Science
Idioma: Inglês

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Comorbidities associated with non- healing of plantar ulcers in leprosy patients

Upputuri, Brahmaiah ; Srikantam, Aparna ; Mamidi, Raja Sriswan Franco-Paredes, Carlos

San Francisco: Public Library of Science

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