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Epidemiological and pathological characteristics of Cutaneous Leishmaniasis from Baluchistan Province of Pakistan

机译:巴基斯坦俾路支省皮肤利什曼病的流行病学和病理特征

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Cutaneous Leishmaniasis (CL) is considered a neglected tropical disease which in Pakistan can now be considered as a growing public health problem. The exact figures on the magnitude of the disease are lacking both at the national and regional level and only a few health centres are available for diagnosis of CL. The present study was designed to identify the epidemiology of CL infection from August 2018 to December 2019 and to assess clinical aspects of CL in Baluchistan Province of Pakistan. A total of 4072 clinically suspected CL cases were analysed statistically. The highest number of CL cases were reported in May, followed by April, January and then July, February and June and the lowest number of cases were observed in March and November. The highest prevalence rate was found in males where 38% of reported cases were aged 0-9 years. The majority (24.4%) of lesions were found on the hands followed by the face in which cheeks, ears and nose were the effected organs. About 50% of the participants have single lesion while 14% of the participants had two and nearly 3% of the participants have six lesions. The atypical clinical presentations were observed in Baluchistan and common unusual presentations were lupus erythematosus. The study findings suggest that more epidemiological studies and health education campaigns are needed for the population awareness regarding CL in Baluchistan. It is recommended that risk factors should be evaluated to establish control and management strategies to prevent disease at the individual and community level.
机译:皮肤利什曼病(CL)被认为是一种被忽视的热带疾病,在巴基斯坦现在可以被视为一个日益严重的公共卫生问题。在国家和地区层面都缺乏关于该疾病严重程度的确切数字,只有少数卫生中心可用于CL的诊断。本研究旨在确定2018年8月至2019年12月期间CL感染的流行病学,并评估巴基斯坦俾路支省CL的临床方面。对4072例临床疑似CL病例进行统计分析。报告的CL病例数量最多的是5月,其次是4月、1月、7月、2月和6月,观察到的病例数量最少的是3月和11月。患病率最高的是男性,38%的报告病例年龄在0-9岁之间。大多数(24.4%)病变发生在手部,其次是面部,脸颊、耳朵和鼻子是受影响的器官。约50%的受试者只有一个病灶,14%的受试者有两个病灶,近3%的受试者有六个病灶。俾路支省观察到非典型临床表现,常见的不寻常表现为红斑狼疮。研究结果表明,需要进行更多的流行病学研究和健康教育活动,以提高俾路支省居民对CL的认识。建议对风险因素进行评估,以制定控制和管理策略,在个人和社区层面预防疾病。

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