01939nas a2200349   4500000000100000008004100001260001300042653001500055653002100070653001700091653001000108653002100118653001100139653001100150653001100161653001200172653002000184653000900204653002200213653001700235653000900252653002000261100001700281700001200298245006100310856004100371300001000412490000700422050001300429520113300442022001401575       2005                            d  c2005 Dec10aAdolescent10aAge Distribution10aAge of Onset10aChild10aChild, Preschool10aFemale10aHumans10aInfant10aleprosy10aLower Extremity10aMale10aPeripheral nerves10aRisk Factors10aSkin10aUpper Extremity1 aRanjan Kar B1 aJob C K00aVisible deformity in childhood leprosy--a 10-year study.  uhttp://ila.ilsl.br/pdfs/v73n4a02.pdf  a243-80 v73  aKAR 20053 a<p>Deformity seen in children with leprosy has not often been studied, as the disease itself is less common in children. Deformity, being synonymous with the stigma of leprosy, is a definite social problem in children. In this study we have focused on the burden of deformity in children with leprosy, and various factors responsible for the deformities are discussed. We have observed an incidence of 10.5% of Grade II deformities in children with leprosy, which is very high compared to the community rate of 1.4%. Various factors which contributed significantly to the deformities in our study were: increasing age of children, delay in accessing health care, multiple skin lesions, multibacillary disease, smear positivity, multiple nerve involvement, and reaction at the time of presentation to the hospital. Logistic regression analysis showed that children with thickened nerve trunks had 6.1 times higher risk of developing deformities compared to those who did not have nerve enlargement. Children with the above risk factors should be followed up more frequently so as to detect any deformity as early as possible.</p>  a0148-916X