Leprosy in a Child

Recently, a 10-year-old child who had been in this country for 19 months after the "baby-lift" in Vietnam was discovered to have a granulomatous lesion on her right index finger. Biopsy and histologic examination failed to reveal the exact diagnosis except that it was a "granulomatous process." Recurrence of a similar lesion on the palm of the hand and referral of the patient to a large medical center identified the process as mild tuberculoid leprosy.