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The Mortality Associated with Erythema Nodosum Leprosum in Ethiopia: A Retrospective Hospital-Based Study
by
Lambert, Saba M.
, Lebas, Eglantine
, Lockwood, Diana N. J.
, Walker, Stephen L.
, Doni, Shimelis N.
in
Adolescent
/ Adrenal Cortex Hormones
/ Adrenal Cortex Hormones - adverse effects
/ Adrenal Cortex Hormones - therapeutic use
/ Adult
/ Aged
/ Blister packs
/ Child
/ Chronic illnesses
/ Dermatologie
/ Dermatology
/ Development and progression
/ Drug dosages
/ Drug therapy
/ Erythema Nodosum
/ Erythema Nodosum - drug therapy
/ Erythema Nodosum - epidemiology
/ Erythema Nodosum - mortality
/ Ethiopia
/ Ethiopia - epidemiology
/ Female
/ Hospitals
/ Human health sciences
/ Humans
/ Immunologie & maladie infectieuse
/ Immunology & infectious disease
/ Immunosuppressive Agents
/ Immunosuppressive Agents - adverse effects
/ Immunosuppressive Agents - therapeutic use
/ Leprosy
/ Leprosy, Lepromatous
/ Leprosy, Lepromatous - drug therapy
/ Leprosy, Lepromatous - epidemiology
/ Leprosy, Lepromatous - mortality
/ Male
/ Medicine
/ Middle Aged
/ Mortality
/ Patient outcomes
/ Public health, health care sciences & services
/ Retrospective Studies
/ Risk factors
/ Santé publique, services médicaux & soins de santé
/ Sciences de la santé humaine
/ Tropical diseases
/ Young Adult
2014
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The Mortality Associated with Erythema Nodosum Leprosum in Ethiopia: A Retrospective Hospital-Based Study
by
Lambert, Saba M.
, Lebas, Eglantine
, Lockwood, Diana N. J.
, Walker, Stephen L.
, Doni, Shimelis N.
in
Adolescent
/ Adrenal Cortex Hormones
/ Adrenal Cortex Hormones - adverse effects
/ Adrenal Cortex Hormones - therapeutic use
/ Adult
/ Aged
/ Blister packs
/ Child
/ Chronic illnesses
/ Dermatologie
/ Dermatology
/ Development and progression
/ Drug dosages
/ Drug therapy
/ Erythema Nodosum
/ Erythema Nodosum - drug therapy
/ Erythema Nodosum - epidemiology
/ Erythema Nodosum - mortality
/ Ethiopia
/ Ethiopia - epidemiology
/ Female
/ Hospitals
/ Human health sciences
/ Humans
/ Immunologie & maladie infectieuse
/ Immunology & infectious disease
/ Immunosuppressive Agents
/ Immunosuppressive Agents - adverse effects
/ Immunosuppressive Agents - therapeutic use
/ Leprosy
/ Leprosy, Lepromatous
/ Leprosy, Lepromatous - drug therapy
/ Leprosy, Lepromatous - epidemiology
/ Leprosy, Lepromatous - mortality
/ Male
/ Medicine
/ Middle Aged
/ Mortality
/ Patient outcomes
/ Public health, health care sciences & services
/ Retrospective Studies
/ Risk factors
/ Santé publique, services médicaux & soins de santé
/ Sciences de la santé humaine
/ Tropical diseases
/ Young Adult
2014
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The Mortality Associated with Erythema Nodosum Leprosum in Ethiopia: A Retrospective Hospital-Based Study
by
Lambert, Saba M.
, Lebas, Eglantine
, Lockwood, Diana N. J.
, Walker, Stephen L.
, Doni, Shimelis N.
in
Adolescent
/ Adrenal Cortex Hormones
/ Adrenal Cortex Hormones - adverse effects
/ Adrenal Cortex Hormones - therapeutic use
/ Adult
/ Aged
/ Blister packs
/ Child
/ Chronic illnesses
/ Dermatologie
/ Dermatology
/ Development and progression
/ Drug dosages
/ Drug therapy
/ Erythema Nodosum
/ Erythema Nodosum - drug therapy
/ Erythema Nodosum - epidemiology
/ Erythema Nodosum - mortality
/ Ethiopia
/ Ethiopia - epidemiology
/ Female
/ Hospitals
/ Human health sciences
/ Humans
/ Immunologie & maladie infectieuse
/ Immunology & infectious disease
/ Immunosuppressive Agents
/ Immunosuppressive Agents - adverse effects
/ Immunosuppressive Agents - therapeutic use
/ Leprosy
/ Leprosy, Lepromatous
/ Leprosy, Lepromatous - drug therapy
/ Leprosy, Lepromatous - epidemiology
/ Leprosy, Lepromatous - mortality
/ Male
/ Medicine
/ Middle Aged
/ Mortality
/ Patient outcomes
/ Public health, health care sciences & services
/ Retrospective Studies
/ Risk factors
/ Santé publique, services médicaux & soins de santé
/ Sciences de la santé humaine
/ Tropical diseases
/ Young Adult
2014
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The Mortality Associated with Erythema Nodosum Leprosum in Ethiopia: A Retrospective Hospital-Based Study
Journal Article
The Mortality Associated with Erythema Nodosum Leprosum in Ethiopia: A Retrospective Hospital-Based Study
2014
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Overview
Erythema nodosum leprosum (ENL) is a debilitating multisystem disorder which complicates leprosy. It is characterised by fever, malaise and painful erythematous cutaneous nodules. ENL is often recurrent or chronic in nature and frequently severe. Patients often require prolonged treatment with high doses of oral corticosteroids. There are no data on the mortality associated with treated ENL.
The notes of patients who were admitted, discharged, transferred to another facility or died with a diagnosis of leprosy or a leprosy-related complication for a five year period were reviewed.
414 individuals were identified from the ward database. 312 (75.4%) patient records were located and reviewed. Ninety-nine individuals had ENL and 145 had a Type 1 reaction. The median age of individuals with ENLwas 25 years. Eight patients with erythema nodosum leprosum died compared with two diagnosed with Type 1 reaction. This difference is statistically significant (p = 0.0168, Fisher's Exact Test). There is a significant mortality and morbidity associated with ENL in this Ethiopian cohort. The adverse outcomes seen are largely attributable to the chronic administration of oral corticosteroids used to control the inflammatory and debilitating symptoms of the condition.
Publisher
Public Library of Science,Public Library of Science (PLoS)
Subject
/ Adrenal Cortex Hormones - adverse effects
/ Adrenal Cortex Hormones - therapeutic use
/ Adult
/ Aged
/ Child
/ Erythema Nodosum - drug therapy
/ Erythema Nodosum - epidemiology
/ Erythema Nodosum - mortality
/ Ethiopia
/ Female
/ Humans
/ Immunologie & maladie infectieuse
/ Immunology & infectious disease
/ Immunosuppressive Agents - adverse effects
/ Immunosuppressive Agents - therapeutic use
/ Leprosy
/ Leprosy, Lepromatous - drug therapy
/ Leprosy, Lepromatous - epidemiology
/ Leprosy, Lepromatous - mortality
/ Male
/ Medicine
/ Public health, health care sciences & services
/ Santé publique, services médicaux & soins de santé
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