Leprosy and international adoption: a case report and review of diagnostic and treatment dilemmas.
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.
King
Katherine
K
Department of Pediatrics, Baylor College of Medicine, Houston, TX, USA. kyk@bem.edu
Browning
John C
JC
Metry
Denise W
DW
Prestigiacomo
John
J
Scollard
David
D
Schutze
Gordon E
GE
Stryjewska
Barbara
B
Schwarzwald
Heidi
H
D000300:Adoption; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D002648:Child; D005002:Ethiopia / Q000208:ethnology; D005260:Female; D006801:Humans; D007917:Leprostatic Agents / Q000627:therapeutic use*; D007918:Leprosy / Q000175:diagnosis* / Q000188:drug therapy* / Q000382:microbiology; D011241:Prednisone / Q000627:therapeutic use
D000893:Anti-Inflammatory Agents; D007917:Leprostatic Agents; D011241:Prednisone