Lucio leprosy with lucio phenomenon.

Leprosy is one of the commonly seen disease in any dermatology outpatient department in our country. India accounts for a major portion of the leprosy patients in the world. All types of the disease, such as tuberculoid, borderline, lepromatous, neuritic and indeterminate leprosy, are seen. However, "lucio leprosy" which is considered a special type of lepromatous leprosy characterised by diffuse involvement has not been reported from India. We are presenting here two cases of "lucio leprosy" with "lucio phenomenon", the lucio phenomenon being a special type of lepra reaction seen in lucio leprosy.

A clinico-epidemiological study of leprosy in arid north-west Rajasthan, Jodhpur.

A detailed clinical, bacteriological and histopathological study of 1373 patients of leprosy who sought medical advice at the Department of Skin, STD and Leprosy of Dr. Sampurnanand Medical College, Jodhpur, during 1975-1993 is reported. The disease was observed in 1.54 patients per 1000 cases attending in the skin department out-patients. More than 50% of them had polar type of lepromatous leprosy. The disease was found 2.42 times more often in males than in females and was found mainly in the age group 11-70 years. Family history of leprosy was obtained in 130 (9.5%) of the cases. Lepra reactions were seen in 151 (11%) cases, of which 30 had type 1 reaction (19.2%) and 121 type 2 reaction (80.1%). The majority of leprosy cases (966 or 70.4%) were from Jodhpur district, followed by 109 (7.9%) from Nagaur district and then from, Barmer, Jaisalmer and Jalore etc. All cases of leprosy responded well to the WHO regimens of multidrug therapy. The reactional cases were satisfactorily managed with higher doses of clofazimine along with oral prednisolone.