Leprosy, also known as
Hansen's disease (
HD), is a
chronic infection caused by the
bacteria Mycobacterium leprae and
Mycobacterium lepromatosis. Named after
physician Gerhard Armauer Hansen, leprosy is primarily a
granulomatous disease of the
peripheral nerves and
mucosa of the
upper respiratory tract; skin lesions are the primary external sign. Left untreated, leprosy can be progressive, causing permanent damage to the skin, nerves, limbs and eyes. Contrary to folklore, leprosy does not cause body parts to fall off, although they can become numb or diseased as a result of secondary infections; these occur as a result of the body's defenses being compromised by the primary disease. Secondary infections, in turn, can result in tissue loss causing fingers and toes to become shortened and deformed, as cartilage is absorbed into the body.
Treatment for multibacillary leprosy consists of
rifampicin,
dapsone, and
clofazimine taken over 12 months. Single dose MDT for single lesion leprosy consists of
rifampicin,
ofloxacin, and
minocycline. The move toward single-dose treatment strategies has reduced the rates of disease in some regions.
World Leprosy Day was created to draw awareness to those affected by leprosy.
In 1995, the
World Health Organization (WHO) estimated that between 2 and 3 million people were permanently disabled because of leprosy at that time. In the past 20 years, 15 million people worldwide have been cured of leprosy.
Leprosy has affected humanity for over 4,000 years, and was recognized in the civilizations of
ancient China,
Egypt and
India. Although the forced
quarantine or segregation of patients is unnecessary in places where adequate treatments are available, many
leper colonies still remain around the world in countries such as
India (where there are still more than 1,000 leper colonies),
China,
Romania,
Egypt,
Nepal,
Somalia,
Liberia,
Vietnam, and
Japan. Leprosy was once believed to be highly contagious and was treated with
mercury — all of which applied to
syphilis, which was first described in 1530. It is possible that many early cases thought to be leprosy could have actually been syphilis. The age-old
social stigma associated with the advanced form of leprosy lingers in many areas, and remains a major obstacle to self-reporting and early treatment. Effective treatment first appeared in the late 1940s. Resistance has developed to initial treatment. It was not until the introduction of multidrug therapy (MDT) in the early 1980s that the disease could be diagnosed and treated successfully within the community.