Since 1978, mass examinations for inpatients have done at Japanese National Lepro-sarium, Oshima Seisho-en.
This report describes about the data of the mass examination at 1978, especially the results about leprosy patients with abnormal urinary findings.
Numbers of those patients who underwent the mass examination and items of the examination are as follows:
Number of leprosy patients who underwent blood examination 288 patients
Items of blood examination CRP, GOT, GPT, ALP, Cholesterol, BUN, RBCC, WBCC, Hb
Number of leprosy patients who underwent urinalysis 303 patients
Items of urinalysis Haemacombistics (PH, urinary protein, occult blood, urinary suger, aceton) Urinary protein by sulphosalicylic acid method, Urobilinogen
The leprosy patients with abnormal urinary findings are divided into 5 groups as follows:
Group I; patients whose urinary protein was over 30mg/dl and erythrocyte count in sediment was 5 or more per 1 high power microscopic field: 16 patients
Group II; patients whose urinary protein test was negative or trace and erythrocyte count in sediment was 5 or more per 1 high power microscopic field: 17 patients
Group III; patients whose urinary protein test was over 30mg/dl and erythrocyte count in sediment was 4 or less per 1 high power microscopic field: 7 patients
Group IV; patients whose urinary protein test was negative or trace and erythrocyte count in sediment was from 4 to 1 per 1 high power microscopic field: 25 patients
Group V; patients whose leucocyte count in sediment was 10 or more per 1 high power microscopic field: 25 patients
After the mass examination, long term follow up was done to these leprosy patients with abnormal urinary findings except Group IV. Blood examination, urinalysis, urinary bacteriologic culture, IVP and clearance studies have been repeated many times.
Clinical diagnosis depending on the follow up studies are as follows:
Group I; 1) chronic glomerulonephritis: 6 patients
2) hepatic glomerulosclerosis: 1 patient
3) renal calculus: 1 patient
4) duplication of the pelvis with renal calculus 1 patient
5) chronic renal failure: 1 patient
Group II; 1) chronic glomerulonephritis 6 patients
2) Kimmelstiel-Wilson syndrome: 1 patient
3) hepatic glomerulosclerosis: 1 patient
Group III; 1) chronic glomerulonephritis: 1 patient
Group V; 1) perinephric abszess: 1 patient
2) diverticulum of the bladder: 1 patient
3) stricture of the urethra with prostatomegaly: 1 patient
4) urinary tract infection: 7 patients
These leprosy patients with renal complications are treated at Oshima Seisho-en and Leprosy Research Laboratory, Kyoto University School of Medicine.
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