A Case Report on Management of Hand Burns in a Leprosy Patient

Authors

  • Amrutha Jyothy surendran Senior Resident Department Of Plastic Surgery JIPMER Pondicherry
  • Ravi Kumar Chittoria Professor and Associate Dean (Academic) Head of IT Wing and Telemedicine Department of Plastic Surgery and Telemedicine JIPMER Pondicherry
  • Anirudh Dwajan Junior Resident Department of Orthopaedics Surgery JIPMER Pondicherry

DOI:

https://doi.org/10.37591/rrjot.v13i3.3399

Keywords:

Leprosy, Burns, Hansen’s disease, Autologous Platelet Rich Plasma, Low Level Laser Therapy, adult burns

Abstract

Leprosy, also known as Hansen's disease, is a chronic infectious disease caused by the bacterium Mycobacterium leprae. Clinical features depend on the immune status of the patient but usually involve skin and peripheral nerves. The lesions are usually anesthetic which can lead to ulceration and non healing wounds. Therefore, the management of a burns injury in a patient who is suffering with leprosy becomes challenging. Advanced methods of wound management using Autologous Platelet rich plasma(APRP) and low level laser therapy(LLLT) have to be incorporated into the management for a good outcome

References

Britton WJ, Lockwood DN. Leprosy. The Lancet. 2004;363:1209-19.

G. Weddell and E. Palmer, “The pathogenesis of leprosy. An experimental approach,” Leprosy Review, vol. 34, pp. 57–61, 1963.

J. C. Pedley, “The nasal mucus in leprosy,” Leprosy Review, vol. 44, no. 1, pp. 33–35, 1973.

Hopkins JT, McLoda TA, Seegmiller JG, David Baxter G. Low level laser Therapy Facilitates superficial wound healing in humans: a triple-blind, sham-controlled study. J Athl Train. 2004;39:223-229

Gaida K, Koller R, Isler C, Aytekin O, Al-Awami M, Meissl G, Frey M. Low level Laser Therapy – a conservative approach to the Burns. 2004;30:362-367.

Widgerow AD, Chait LA, Stals R, Stals PJ. New innovations in scar management. Aesthetic Plast Surg. 2000;24:227-234

Sudhanva H.K., Panday S, chittoria RK, Mohapatra DP, friji MT, Dinesh KS. Role of APRP in the successful uptake of Split Skin DONOR. Dermatology international Volume 1 number 2 July to December 2016

Elankumar S, Sudhanva H.K., Abhinav A, Chittoria R.K. APRP spray devices: a novel technique of applying APRP. Dermatology international Volume 2 number 2, July to December 2017

Weibrich G, Kleis WK, Hafner G, Hitzler WE,. Growth factor levels in platelet- rich plasma and correlation with donor age, sex and platelet count. Journal of cranio-maxillofacial surgery. 2002; 30(2): 97 -102.

Karr JC, de Mola FL, Pham T, Tooke L. Wound healing and cost-saving benefits of combining negative-pressure wound therapy with silver. Adv Skin Wound Care. 2013;26(12):562-5.

Published

2023-02-22

Issue

Section

Research Article