Stigma is almost synonymous with visible deformity and this is what makes leprosy a dreaded disease for the

common man. Deformities in children are more distressing, due to the limitation of their physical, academic and social life. An 11-year-old female child was presented with trophic ulceration of right foot and triple nerve paralysis (i.e. total claw hand with wrist drop) of the left hand of 2 years duration. In addition, she had multiple hypopigmented hypoaesthetic patches on the extremities and buttocksn She was diagnosed as a case of borderline tuberculoid leprosy and was started on WHO MB MDT therapy. Leprosy in children is an indicator for disease prevalence in general population and occurrence of deformities points towards the delay in making the diagnosis and the stigma associated with the disease.

Kusta pada anak merupakan indikator untuk prevalensi penyakit dalam populasi dan kejadian deformitas terhadap tertundanya dalam membuat diagnosis dan stigma pada

Childhood leprosy is an indicator of endemicity of the disease (13). To the common man leprosy is well known because of the stigma that is still prevalent in the society. This stigma is almost synonymous with visible deformity. Major factors that contributeto deformity in various studies in adult leprosy patients are delay in diagnosis (10, 20), high bacillary load (16), multiple nerve enlargements (16), occurrence of reaction (19), and delay in provision of proper care of the disease. Therefore deformity is a preventable complication in the majority of patients. Deformity occurring in children is more distressing both socially and psychologically, as they have to live their whole life with stigma and in a hostile environment. This study was carried out to document the number of children with Grade II deformity as well as to identify the role of various risk factors contributing to its development.

Penyakit kusta adalah salah satu penyakit menular yang menimbulkan masalah yang sangat kompleks. Masalah yang dimaksud bukan hanya dari segi medis tetapi meluas sampai masalah sosial, ekonomi, budaya, keamanan dan ketahanan nasional. Kuman kusta biasanya menyerang saraf tepi kulit dan jaringan tubuh lainnya. Penyakit ini merupakan penyakit menular yang sifatnya kronis. Penyebab penyakit kusta ialah suatu kuman yang disebut Mycobaterium leprae. Sumber penularan penyakit ini adalah penderita kusta multi basilet (MB) atau kusta basah. Di Indonesia penderita anak-anak di bawah umur 14 tahun sekitar 13, namun kejadian pada umur di bawah 1 tahun jarang. Faktor resiko di antaranya adalah tinggal di daerah endemic, nutrisi yang kurang, imunitas, kontak dengan anggota keluarga yang menderita. Terapi dari kusta tergantung tipe kusta yang diderita pasien dengan menggunakan Multi Drug Terapi (MDT). Untuk tipe PB

sekitar 6 bulan dan tipe MB sekitar 12 bulan. Prognosis penyakit kusta tergantung dari lamanya menderita kusta, komplikasi yang terjadi, kepatuhan terhadap pengobatan. epidemologi Suatu penyataan bahwa sebagian besar penderita kusta adalah dari golongan ekonomi lemah. Perkembangan penyakit pada diri penderita bila tidak ditangani secara cermat dapat menimbulkan cacat dan keadaan ini menjadi halangan bagi penderita kusta dalam kehidupan bermasyarakat untuk memenuhi kebutuhan sosial ekonomi mereka, juga tidak dapat berperan serta dalam pembangunan bangsa dan negara. Leprosy is one of the infectious diseases that cause problems very complex. The problem is not just the medical side but extends to social, economic, cultural, security and national defense. Leprosy germs usually attack the peripheral nerves of skin and other body tissues. This disease is an infectious diseases that are chronic. The cause of leprosy is a bacterial disease called Mycobaterium leprae. Source transmission of this disease is multi basiler leprosy patients (MB) or wet leprosy. In Indonesia, leprosy in children abaout 13 % in above 14 years old, but the patients under 1 year rarely. The risk factors are live in endemic area, less nutrition intake, immunity, and contact to family that get leprosy. Therapy for leprosy is based on the type of leprosy and use Multi Drug Therapy (MDT). Duration for therapi about six months for PB and 12 months for MB. Prognosis of leprosy depends on duration of getting leprosy, the complication, and pursuance of the therapy.. A revelation that the majority of leprosy patients are from the economic group weak. Disease progression in patients themselves if not handled carefully to cause disability and this situation became an obstacle for people with leprosy in the life society to meet their socioeconomic needs, nor can it play a role as well as in nation-building and state.

ABSTRACT Penyakit kusta adalah salah satu penyakit menular yang menimbulkan masalah yang sangat kompleks. Masalah yang dimaksud bukan hanya dari segi medis tetapi meluas sampai masalah sosial, ekonomi, budaya, keamanan dan ketahanan nasional. Kuman kusta biasanya menyerang saraf tepi kulit dan jaringan tubuh lainnya. Penyakit inimerupakan penyakit menular yang sifatnya kronis. Penyebab penyakit kusta ialah suatu kuman yang disebut Mycobaterium leprae. Sumberpenularan penyakit ini adalah penderita kusta multi basilet (MB) atau kusta basah. Di Indonesia penderita anak-anak di bawah umur 14 tahun sekitar 13, namun kejadian pada umur di bawah 1 tahun jarang. Faktor resiko di antaranya adalah tinggal di daerah endemic, nutrisi yang kurang, imunitas, kontak dengan anggota keluarga yang menderita. Terapi dari kusta tergantung tipe kusta yang diderita pasien dengan menggunakan Multi Drug Terapi (MDT). Untuk tipe PB sekitar 6 bulan dan tipe MB sekitar 12 bulan. Prognosis penyakit kusta tergantung dari lamanya menderita kusta, komplikasi yang terjadi, kepatuhan terhadap pengobatan.

Leprosy is one of the infectious diseases that cause problems very complex. The problem is not just the medical side but extends to social, economic, cultural, security and national defense. Leprosy germs usually attack the peripheral nerves of skin and other body tissues. This diseaseis an infectious diseases that are chronic. The cause of leprosy is a bacterial disease called Mycobaterium leprae. Source transmission of this disease is multi basiler leprosy patients (MB) or wet leprosy. In Indonesia, leprosy in children abaout 13 % in above 14 years old, but the patients under 1 year rarely.The risk factors are live in endemic area, less nutrition intake, immunity, and contact to family that get leprosy.Therapy for leprosy is based on the type of leprosy and use Multi Drug Therapy (MDT). Duration for therapi about six months for PB and 12 months for MB. Prognosis of leprosy depends on duration of getting leprosy, the complication, and pursuance of the therapy.