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بسم اللة الرحمن الرحيم Leprosy in Saudi Arabia

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وزارة الصحة. Ministery of Health. بسم اللة الرحمن الرحيم Leprosy in Saudi Arabia. Supercourse. Presented by:. Dr Khalid Al-Aboud Medical Director and Consultant Dermatologist. King Faisal Hospital, Makkah,Saudi Arabia. E-mail amoa65@hotmail.com. Background. L.

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slide1

وزارة الصحة

Ministery of Health

بسم اللة الرحمن الرحيم

Leprosy in Saudi Arabia

Supercourse

Presented by:

Dr Khalid Al-Aboud

Medical Director and Consultant Dermatologist

King Faisal Hospital, Makkah,Saudi Arabia.

E-mail amoa65@hotmail.com

slide2

Background

L

eprosy is a chronic granulomatous diseases caused by Mycobacterium Leprae.It is regarded as public health problem because of its capacity to cause permanent disabilities with their social consequences of discrimination and stigma

It is of 3main types ; Tuberculosis, Borderline and the Lepromatous.However, there is a neural type which affect the nerves only.

slide3

Leprosy

It is also known as Hansen disease after the scientist who discoverer the M Leprae

slide4

M Leprae

It is similar to M tuberculosis but resistant to culture. It is an obligate intracellular microbe that multiplies slowly. It has a predilection for cooler areas of human body (skin, peripheral nerves, nose, anterior chamber of the eyes). It has 3 main targets: peripheral neural tissues (Schwann cells), small vessels, and monocytes.The skin and nerves are the most commonly affected organs.

slide5

Armadillo

Some types of monkeys

Rabbits and Mices (foot pads)

Animals that may harbor the M Leprae in nature

slide6

Leprosy

It is known in Germany as ,Aussatz and as Prokaza in Russia and as

Lepre in French and as

Lepra in Spanish and as

Mafung Chinese and as

Raibyo in Japanese and as

Kushtha In Hindi and in most Sengalese languages , it is known as

‘’The great disease’’

slide7

Mainly respiratory route .

Others (broken skin lesion

,Pregnancy, insect or contact with animals that harbor the organism)

Leprosy

Ways of Infection

slide8

Main Types of leprosy

Borderline

Tuberculoid

Lepromatous

slide9

Few morphologies for leprosy

Hypopigmented patches

Nerve enlargment

Nodules on the ears

Neurological deficits

slide10

Clinical features.

Smear or biopsy from the skin lesion stained with Fite stain .

Lepromin test : Intradermal injection of M Leprae.It is a tuberculin type of reaction.

Diagnosis of Leprosy

slide11

Leprosy

Approximately 83% of the leprosy cases live in 6 countries: Nepal, Madagascar, Manamar, Indonesia, and especially,India and Brazil.

slide12

Leprosy

in Saudi Arabia

It is known to exist in the Saudi Arabia for long time. But, it is not a public health problem.

Ministry of Health has established the Ibn Sina Hospital in 1963 , a specialized hospital for leprosy, in Hada area, around 35 KM from Jeddah.

slide13

Leprosy in Saudi Arabia

The prevalence of the disease decrease from 3.27 for each 100,000 in population in 1984 to 0.14 for each 100,000 in 2004.

Most of the cases are from expatriates coming from endemic areas.

slide15

Leprosy in Saudi Arabia

ش

Northern boundaries

اAljoof

Tabouk

Madinah

Riyadh

Makkah

Eastern province

Albaha

Najran

Assir

Gazan

Most affected region

slide23

Distribution of registered leprosy

cases in Saudi Arabia

from 1995-2005 according to the nationality

Number of cases

slide24

Distribution of registered leprosy

cases in Saudi Arabia

from 1995-2005 according to the sex

Number of cases

slide25

Distribution of registered leprosy

cases in Saudi Arabia

from 1995-2005 according to the region

Number of cases

slide26

Distribution of registered leprosy

cases in Saudi Arabia

from 1995-2005 according to the age

Number of cases

slide27

Distribution of registered leprosy cases

in Saudi Arabia

from 1995-2005 according to the city

slide28

Distribution of registered leprosy cases

in Saudi Arabia

from 1995-2005 according to the age