RESUMEN
There is a complete lack of data on clinico epidemiological profile of pure neurotic leprosy from Western Odisha region, despite the area still being endemic for leprosy. This study has been carried out to address this issue to identify the profile of pure neuritic leprosy reporting to a Tertiary Care Centre in Western Odisha. Patient's case records with clinical diagnosis of PNL who reported to this centre between October 2012 to October 2014 were studied. Demographic details, educational qualification, clinical presentation, pattern of peripheral nerve involvement, type of disabilities and complications occurring if any, were noted from the patient records and analyzed. Data collected and analysed shows that out of total 1460 of these leprosy patients 145 (9.93%) patients had been diagnosed with pure neuritic form of the disease. The mean age of PNL patients was 34.43 + 1.09 years. The various clinical presentations, that were observed and recorded, included sensory loss, tingling, pain, hypoesthesia, trophic ulcer and various grades of motor nerve disabilities. Neuropathic pain was complained by 28.3% patients. Mononeuritic presentation was observed in 79/145 (54.5%) patients with ulnar nerve being the most commonest nerve involved. Grade 2 disabilities were present in a large proportion of these PNL cases. Disabilities were more common in polyneuritic type of cases compared with mononeuritic cases. Such high disability rates in these PNL cases at our Tertiary Care Centre might be due to late self reporting of cases for treatment or diagnosis being delayed. These figures may not reflect the proportion/percentages at population level which should be verified by actual surveys after proper training of staff. As PNL demands early diagnosis to prevent progression of nerve damage and multiple nerve involvement, all patients having the above clinical presentations should be suspected of PNL in leprosy endemic areas
RESUMEN
Introduction: Tooth eruption marks a milestone in a child’s development and is synchronous with growth and development of the craniofacial complex. Thus, the present study was carried to evaluate the timing and sequence of eruption of deciduous teeth among children of India. Materials and methods: The present study was carried out on 60 children (30 boys and 30 girls), aged between 5 till the emergence of II deciduous molar in the oral cavity, who were local residents, born and residing in that area and were visited regularly at monthly intervals at their homes. All the data were compiled and tabulated using the SPSS software package version 18. Comparison was made between the data obtained and the standard tooth eruption table. The Student t’ test was used to assess the significance of difference in the mean age of tooth eruption with p value of <0.005 as significant value. Results: Comparing the maxillary and mandibular arches, mandibular central incisor at 8.85 ± 1.05 was the first tooth to erupt and maxillary second molar was erupted at 28.12 ± 1.5 months were the last deciduous tooth to erupt in the oral cavity. Females showed delayed eruption compared to males in case of anterior teeth, and males showed delayed eruption in case of posterior deciduous teeth. Though the difference was not significant (p> 0.05), there was a systematic tendency for early eruption of left sided primary teeth, though the difference was not significant. K. Vinod, Singh R, Suryavanshi R, Ashok Kumar, Singh RK, Ranjan R. Eruption chronology of Primary Teeth in Garhwa district, Jharkhand, India. IAIM, 2016; 3(5): 81-84. Page 82 Conclusion: The present study found delay in eruption. Hence, studies conducted to evaluate time to time estimation of variation of eruption sequence among different populations is important for general dental practitioners, and pediatric dentists to contend with the anxiety of the parents.