Hidajat Dedianto, Risantari I Gusti Ayu Febi, Affarah Wahyu Sulistya
Department of Dermatology and Venereology, West Nusa Tenggara General Hospital, Lombok.
Department of Public Health, Faculty of Medicine, University of Mataram, Lombok, Indonesia.
Dermatol Reports. 2023 May 19;15(4):9706. doi: 10.4081/dr.2023.9706. eCollection 2023 Dec 1.
Children are the leprosy population most at risk; multibacillary infections are common. We reported pediatric cases with WHO-multibacillary lepromatous type morbus Hansen. We discovered several hypopigmented patches on the right upper arm, anesthesia-filled claw hands, and infiltrates in the ears in one 17- year-old child. In the other case (13-year-old), we discovered reduced sensory sensitivity in nearly every area of the body, infiltrates on the ear, and numerous irregular hypopigmented plaques on the belly, lumbar, and gluteus. Both patients had positive acidfast bacteria. After three months of treatment, multibacillary leprosy patients began to show improvement. Low socioeconomic and environmental conditions, as well as a history of intimate contact with leprosy patients, have been identified as risk factors.
儿童是麻风病感染风险最高的人群；多菌型感染很常见。我们报告了世界卫生组织（WHO）诊断为多菌型瘤型麻风病的儿科病例。我们在一名17岁儿童的右上臂发现了几块色素减退斑、呈麻醉状的爪形手以及耳部浸润。在另一例（13岁）病例中，我们发现其身体几乎每个部位的感觉敏感度都降低，耳部有浸润，腹部、腰部和臀部有许多不规则的色素减退斑块。两名患者的抗酸杆菌检测均呈阳性。经过三个月的治疗，多菌型麻风病患者开始出现好转。社会经济和环境条件差以及与麻风病患者有密切接触史已被确定为风险因素。
