Mid-Borderline Leprosy with Mild Type 1 Reaction in Children: A Case Report

Background: Leprosy is a chronic infectious disease caused by Mycobacterium leprae. Cases of leprosy in children are rarely found because of the long incubation period of Mycobacterium leprae. Purpose: To report a case of mid-borderline leprosy with a mild type 1 reaction in a seven-years-old girl patient. Case: A 7-years-old girl patient presented with multiple red and white patches on her face, body, arms, legs, and buttocks since 6 months before. There was no itching, numbness, painr fever. There was no thickening of peripheral nerves and no nerve function impairment. Her grandmother was suspected to have leprosy, but she had never been treated and had already passed away. From the acid fast bacilli (AFB) examination, the bacterial index (BI) was 1+ and the morphological index (MI) was 2%. A serologic test examination was also performed and the result were Immunoglobulin (Ig) G  3716 u/ml and IgG 284 u/ml. The patient got multidrugs therapy for 12 months and after 9 months of treatment, the pre-existing patches became erythematous, thickened, and felt pain when touched, but there was no fever. In the presence of pain, oral ibuprofen was then administered and the patches began to improveDiscussion: Due to the possibility of leprosy reaction, it is important to immediately give prompt treatment to children with type 1 leprosy reaction that is associated with neuritis and leads to deformities. Conclusion: Early diagnosis and therapy for a type 1 leprosy reaction are very important to prevent deformities

Clinical profiles and management of atopic dermatitis in adult patients: A retrospective study

Atopic dermatitis (AD) is a chronic inflammatory skin disease, characterized by the appearance of redness, rash and itching. The prevalence in adults was around 1-3%. Due to the chronic and relapse, in general there has been no satisfactory management of AD. This was a Retrospective study in new adult atopic dermatitis patients in Dr. Soetomo General Academic Hospital Surabaya. The data were collected from medical records. Out of 243 adult AD patient there were 167 female patients (68.7%) and 76 male patients (31.3%). The largest age group was in the group of 20-34 years old with a total of 137 patients (56.4%). The most precipitating factor in AD was food with a total of 91 patients (37.4%). The most given oral therapy was antihistamines with a total of 168 patients (69.1%) and the most widely administered topical therapy was moisturizer with a total of 147 patients (60.5%)