INTRODUCTION
On the day of leprosy worldwide was falling on January 25, Indonesia was in the position of the 3rd world for new leprosy cases. The position of the two major populated by India and Brazil. The public stigma of leprosy is still not good where leprosy is a curse or karma disease. Leprosy recorded in Indonesia in 2010 showed as many as 17 200 new cases of leprosy and of that number as many as 1882 or about 10% in the second level of disability or handicap that is not visible, whereas in India the same year there were 126 600 new cases of leprosy sufferers, while Brazil there are 34 849 the new lepers. It is worried thing is as much as 1904 cases of leprosy in Indonesia suffered by children. This indicates that the transmission of leprosy still exists in society and the discovery of new cases there was delay. Ironic. The leaders scramble position and seat, while the people still continue to pick up from the development of leprosy.Here will be presented regarding the disease and how to handle and reconstruct the defect that caused the disease in the surgical field.
REVIEW REFERENCES
2.1. Definition of Leprosy. Leprosy is a chronic disease caused by the bacterium Mycobacterium leprae in the skin and peripheral nerves. Clinical manifestations of the disease varies greatly with the spectrum in between the two clinical forms of the lepromatous and tuberculoid. In patients with lepromatous leprosy attacks the type of upper respiratory tract and skin disorders-shaped nodules, papules, macules and in large quantities. In patients with tuberculoid type of leprosy skin lesions are usually single and rarely, the limit firmly lesions.
2.1.1. History of Disease Eradication Leprosy
According to the history of the eradication of leprosy in the world we can share in the three days are:
A. AncientLeprosy is known nearly 2000 years BC. It can be known from historical relics such as in Egypt, 1400 BC in India, the term leprosy was known in the Vedas, in China 600 BC, 400 BC in Mesopotamia.In the ancient times it has happened spontaneously exile people feel inferior and ashamed, as well as the public away from people because they feel disgusted and afraid.
2. Middle AgesAfter about the 13th century with the constitutional order and the prevailing feudal system in Europe resulted in the community is very obedient and fearful of the authorities and human rights do not receive attention. Similarly happened in the lepers who is usually a commoner. At that time the cause of diseases and drugs have not been found then the patient is more stringent and enforced exile living in Leprosaria / leper colony settlement for a lifetime.
3. Modern AgeWith leprosy germs ditemukannnya Amaeur by Gerhard Hansen in 1873, then begin a new era for the development of anti-leprosy drug seeking and mitigation efforts.Similarly in Indonesia dr. Sitanala has pioneered the treatment system changes that had been done in isolation, is gradually carried out by treatment of the road. Development of subsequent treatment were as follows:a. In 1951 used diamino Diphenyl sulfone (DDS) as a treatment for leprosy patients.b. In 1969 the eradication of leprosy began to be integrated in the clinic. c. Since 1982 Indonesia began using the drug combination of Multidrug Therapy (MDT) as recommended by WHO.
