ABSTRACT
A 35-year-old male patient presented with tingling and numbness over both extremities, skin lesions and buboes in bilateral inguinal region with the classical “sign of groove”. Biopsy from the skin lesion as well as the lymph node aspirate was consistent with lepromatous leprosy with erythema nodosum leprosum (type 2 lepra reaction). This case report highlights the interesting observation of the “groove sign” with leprosy, as a result of lymph node involvement of inguino-femoral region
ABSTRACT
Elimination of leprosy as public health problem (defined as a registered prevalence of less than 1 case per 10,000 population) was achieved globally in 2000 and in 2005 from India. However, new cases including those in children continue to be reported. As pediatric leprosy shows active transmission of infection in the community, these have special epidemiological significance. The objective of this study was to study the profile of leprosy and deformity in pediatric age group (<15 years). A descriptive cohort study was carried out. The present study comprises of pediatric leprosy patients among 200 patients of leprosy who presented to outpatient Department of a tertiary dermatology center in Western Gujarat during the period 2009-10 and followed up until 2016. All newly diagnosed, on-treatment and relapse cases of leprosy in pediatric age group during that period were included. Detailed history, relevant past and family history were noted. A detailed physical examination was carried out, Slit Skin Smear (SSS) and punch biopsy to confirm the diagnosis was also done. The patients were then classified as per WHO into Paucibacillary(PB) / Multibacillary(MB) cases for treatment purpose and treatment provided accordingly. The patients were regularly followed up during the study period. Findings shows that out of 200 patients, 7.5% (n=15) patients belonged to pediatric age group. Tuberculoid leprosy was the commonest type seen in 53.2% (n=8) of pediatric patients. Male: Female ratio (4:1) was much higher in cahildren than adults. 33% (n=5/15) patients had a positive household contact. There were no deformities seen in this age group. This study signifies the importance of transmission in close contacts. However, the matter of concern remains that 67% of children had no household contacts. Such cases require in-depth epidemiological investigations for other possible sources of transmission.