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Leprosy and International Adoption: A Case Report and Review of Diagnostic and Treatment Dilemmas

King, Katherine MD, PhD*; Browning, John C. MD; Metry, Denise W. MD; Prestigiacomo, John MD; Scollard, David MD, PhD; Schutze, Gordon E. MD*; Stryjewska, Barbara MD; Schwarzwald, Heidi MD, MPH*

The Pediatric Infectious Disease Journal: April 2009 - Volume 28 - Issue 4 - p 322-325
doi: 10.1097/INF.0b013e31818de21e
Instructive Case

Hansen disease, commonly known as leprosy, is uncommon in the United States and poses difficult diagnostic and treatment challenges. A 10-year-old girl was adopted from Ethiopia with a history of “multibacillary leprosy” and “multidrug treatment” for 12 months. Three months after her arrival in the United States and 4 months after treatment was completed, she presented with new papules and plaques on her left nose and ear. Herein, we present her case and review current treatment options in leprosy in children and the management of immunologic reactions.

From the *Department of Pediatrics and †Department of Dermatology, Baylor College of Medicine, Houston, TX; and ‡National Hansen Disease Programs, Baton Rouge, LA.

Accepted for publication September 15, 2008.

Address for correspondence: Katherine King, MD, PhD, Baylor College of Medicine, Pediatric Infectious Diseases, One Baylor Plaza, Room 302A, Houston, TX 77030. E-mail:

© 2009 Lippincott Williams & Wilkins, Inc.