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Journal : Frontiers on Healthcare Research

Borderline Lepromatous Leprosy with Mild Reversal Reaction in Child Fonna, Nellia; Ariani, Tutty; Rizal, Yosse; Yenny, Satya Wydya
Frontiers on Healthcare Research Vol. 1 No. 1 (2024)
Publisher : Rumah Sakit Umum Pusat (RSUP) Dr. M. Djamil

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63918/fhr.v1.n1.p7-11.2024

Abstract

Background: Childhood leprosy is an important marker of the status of the ongoing leprosy control program, as it is an indicator of active disease transmission in the community. Children are believed to be the most vulnerable group to infection with M. leprae due to their immature or nascent immunity and exposure to intrafamilial contacts. Case report: A 8 years ole male patient presented with hypopigmented patch and erythematous patch with not itchy, not pain, and loss of sensation which increasing more since 1 week ago. Initially 2 months ago, white patch that felt numbness appeared on the back, then white patches wider and spread to the chest, both arms and thighs. Dermatologic finding showed erythematous plaques, hypopigmentation macule with infiltration on cheek, back, both of arms, xerosis cutis. Decreased sensory function was found in the median, ulnar and posteriol tibial nerves. Acid-fast bacilli (AFB) staining revealed bacterial index (BI) +5 and morphological index (MI) 80%. Histopathological examination showed atrophic stratified squamous epithelium, grenz zone, many groups of foamy macrophages reached the fat layer. The patient was diagnosed Morbus Hansen borderline lepromatous leprosy type with mild reversal reaction and treated with MDT-MB drug package, vitamin B complex tablet, zinc tablet, paracetamol tablet, and 10% urea cream on dry skin 2 times a day on dry skin after bath during 2 month and the lesion was reduced. Conclusion: The rate of childhood leprosy continues to be a significant problem. There is a clear need to strengthen early detection, treatment, and regular follow up of these cases in both high and low endemic setting is essential in the prevention of deformities.
Co-Authors Agustin Vira Agustin Vira Andrini Ariesti Andrini Ariesti Annisa Annisa Anum, Qaira Ariani, Tutty Arimuko, Abraham Ashal, Taufik Astria Rima Rara Yuswir Astria Rima Rara Yuswir Dolly Irfandy Dwi Sabtika Julia Ennesta Asri Ennesta Asri Ennesta Asri Erlina Rustam Eryati Darwin Etriyel Myh Etriyel, Etriyel Fathiyyatul Khaira Fathiyyatul Khaira, Fathiyyatul Fatma Sri Wahyuni Fendri, Sandra Tri Juli Fesdia Sari Fonna, Nellia Fortuna, Fory Frien Refla Syarif Gardenia Akhyar Gusti Revilla Hendra Tarigan Sibero Hendriati, Hendriati Ida Rahmah Burhan Indah Indria Sari Indah Indria Sari Irdawati Izrul Julita Julita Julita Julita Kemala Sayuti Kencana, Indah Kusmarinah Bramono Lestari, Andriani Fuji Lilik Norawati Linosefa Linosefa Mardhiati Mardhiati Melly Maya Sari Mimin Oktaviana Mohammad Rafiequl Haririy Muhammad Fadil Muhammad Farel Brian Nugraha Muhammad Zidan Amriza Mutia Sari Nadya Hasriningrum Triman Nazifah, Fauzana Nellia Fonna Netty Suharti Norawati, Lilik Noverika Windasari Novian Novian Novian Novian Nur, Fauziah Rahmah Hidayah Raja Eka Citra Kalisa Rani, Durrotul Nisa Raveinal Rendra Darma Satria Rendra Darma Satria Rendra Darmasatria Resya I Noer Resya I Noer Ria Afrianti Rika Desviorita Rika Desviorita Rina Gustia Rina Gustia Rina Gustia Riri Prima Yolanda Ririn Lausarina Rizal, Yosse Rizki Dwayana Rizki Dwayana Rizkia Chairani Asri Roslaili Rasyid Salmiah Agus Salwa Azzahra Santy Saberko Septi Mayang Sarry Sigya Octari Silvi Yelitha Siti Rahmawati Sri Lestari Sri Lestari Sugma, Lidya Aprilia Suharmanto Suharmanto Suryani, Yulia Eka Tobat, Sanubari Rela Triani, Aisha Tutty Ariani Tutty Ariani Utama, Redha Cipta Vesri Yossy Virnanda Trisnorizki Saputra Vitresia, Havriza Wardi, Epi Supri Wati, Westi Permata Wresti Indriatmi B. Makes Yan Wirasati Yenni Raflis Yessy Farina Salim Yessy Farina Salim Yola Fadilla Yosse Rizal Zainal Hakim