Artritis Lepra : Gambaran Klinik, Laboratorium, dan Radiologi

Tahun 2007 Volume 42 Nomor 1
Oleh : Suryanto Hadi

Latar belakang : Artritis Lepra merupakan salah satu komplikasi yang sering terjadi pada penderita lepra. Laporan studi penderita Artritis Lepra sangat terbatas .Tujuan penelitan ini untuk mengevaluasi gambaran klinik , Laboratorik, dan radiologik penderita Artritis Lepra .

Metoda : Metode cross sectional, Anamnesis, fisik, Laboratorium dan pemeriksaan radilogik dilakukan pada kelompok studi . Kriteria Holla (1981) dipergunakan sebagai kriteria diagnosa Artritis Lepra.

Hasil : Ditemukan 41 penderita Artritis dari 546 penderita Lepra (7.5%) .Termasuk dalam penelitian adalah 30 penderita terdirei dari 17 wanita (57 %),13 wanita(43%) .Usia 30 -60 tahun terdapat 19 penderita (63.3%) . Nyeri dan kaku sendi kurang dari jam dikeluhkan pada seluruh penderita. lama menderita lepra lebih dari 10 tahun pada 28 penderita (94%). Terapi selesai pada 27 penderita(90%).reaksi lepra pada13 penderita (44%). Lokasi sendi terbanyak adalah pergelangan tangan dan tangan pada22 penderita (73.3%). Pemeriksaan Radilogik Dijumpai erosi dan destruksi pada 21 penderiat (70%).

Simpulan : Frekuensi Artritis Lepra cukup tinggi dengan distribusi usia pada usia produktif terjadi pada kenaikan laju endap darah dan kadar CRP.Erosi dan destruksi merupakan gambaran radiologi utama

Arthritis Iin Leprosy : Clinical , Laboratory and Radiology Manifestation

Background : Arthritis in Leprosy is acommon feature of complication in Leprosy patients.Study reports of Arthritis Iin Leprosy are very lliited.The Objectivies of this study were to determine the clinical,laboratory and radiology features of Arthritis Iin Leprosy ptients.

Methods : Cross sectional study was chosen .Anamnesis , Physical,Laboratory and Radiology examination were done to the patients under study .Diagnosis of Arthritis Iin Leprosy patients used Holla criteria.

Result : Out of 546 Leprosy patients, Arthritis in Leprosy were found in 42 patients (7.5%) .Thirty patientswere included in this study. The characteristics were 17 male (57%) and 13 male (43%).Nineteen patients (63%.3) were 30-6- years old. Pain with morning stiffness less than 1 hour were reported by in all patients. Duration of l Leprosy diseseas more than 10 years was positive in 28 patients (94%) Finished therapy was positif in 27 patients under study (90%) . Leprosy reaction was examination showed erotion /destruction in 21 patients (27%).

Coclusion : The frequency of Arthritis in Leprosy among leprosy patients were high, with age distribution was in the productive period. Blood sedimentation rate and CRP were increased , erotion and lysis were common picture in radiology examinations.