01368nas a2200169 4500000000100000008004100001653001200042653002500054653003600079100001300115700001600128700001400144700001600158245010600174856006400280520085400344 2024 d10aLeprosy10aMycobacterium leprae10aPolymerase Chain Reaction (PCR)1 aPilaka K1 aPallapati M1 a Jaladi Z1 aEbineshan K00aRobust contact tracing and screening needed for leprosy control and protection of vulnerable children uhttps://ijm.tums.ac.ir/index.php/ijm/article/view/4866/17193 a

Leprosy in children is considered as an indicator of active disease transmission in the community. We report about a seven-year-old male from Telangana, India, with anesthetic skin lesions and familial leprosy history. Clinical examination revealed multiple, dry, scaly, hypopigmented, well-defined, raised punched out anesthetic skin lesions all over the body with both ulnar nerves enlarged. On clinical and laboratory examination, the child was diagnosed with borderline-borderline (BB), multibacillary (MB) leprosy, and Type-1 reaction. The child received a weight-adjusted MB multidrug therapy regimen and corticosteroids for type-1 reactions. This case emphasizes the need for contact tracing and screening for early diagnosis of child leprosy to prevent complications like leprosy reactions which are the risk factors for disability.