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Background: Children are the group most susceptible to Mycobacterium leprae infection. The proportion of new leprosy cases in children is indicator of successful leprosy elimination program from World Health Organization (WHO), so this study would like to know the epidemiology of pediatric leprosy at Dermatology and Venereology Polyclinic, Dr. Mohammad Hoesin Palembang. Methods: Retrospective study of all new cases of leprosy in children (0-17 years) who came to Dermatology and Venereology Polyclinic, Dr. Mohammad Hoesin Palembang from January 2017 to December 2020. Results: There were 10 pediatric patients (7.58%) from 132 new leprosy cases. Most cases (40%) were in the 15-17 age group. There are more male than female. Most types of leprosy are BL (60%) followed by TT (20%). Manifestations of hyperpigmented skin patches and nervous disorders, grade 1 disability, and type 2 leprosy reactions are mostly found in type BL leprosy. The duration of illness 6-12 months has a grade 1 disability (30%). The history of positive contact came from same household in 3 cases (30%) with 7 people (70%) domiciled in Palembang. All cases received Multidrug Therapy (MDT) treatment according to WHO guidelines. Conclusion: Found 10 new cases of leprosy in children in Dermatology and Venereology Polyclinic Dr. Moh. Hoesin Palembang for four years, especially in the 15-17 age group, with the most cases being type BL leprosy. Household contact still plays an important role in leprosy transmission.

A B S T R A C TBackground: Children are the group most susceptible to Mycobacterium lepraeinfection. The proportion of new leprosy cases in children is indicator of successfulleprosy elimination program from World Health Organization (WHO), so this studywould like to know the epidemiology of pediatric leprosy at Dermatology andVenereology Polyclinic, Dr. Mohammad Hoesin Palembang. Methods:Retrospective study of all new cases of leprosy in children (0-17 years) who cameto Dermatology and Venereology Polyclinic, Dr. Mohammad Hoesin Palembangfrom January 2017 to December 2020. Results: There were 10 pediatric patients(7.58%) from 132 new leprosy cases. Most cases (40%) were in the 15-17 agegroup. There are more male than female. Most types of leprosy are BL (60%)followed by TT (20%). Manifestations of hyperpigmented skin patches and nervousdisorders, grade 1 disability, and type 2 leprosy reactions are mostly found in typeBL leprosy. The duration of illness 6-12 months has a grade 1 disability (30%).The history of positive contact came from same household in 3 cases (30%) with7 people (70%) domiciled in Palembang. All cases received Multidrug Therapy(MDT) treatment according to WHO guidelines. Conclusion: Found 10 new casesof leprosy in children in Dermatology and Venereology Polyclinic Dr. Moh. HoesinPalembang for four years, especially in the 15-17 age group, with the most casesbeing type BL leprosy. Household contact still plays an important role in leprosytransmission.

Striaedistensae(SD) is linear scar tissue in the epidermis and dermis due to excessive stretching of the skin.Striaedistensaeoccurs due to dysfunction of extracellular matrix components that play a role in skin elasticity increasing sensitivity to minor trauma and ulceration. One of the causes is the long-term use of corticosteroids. Systemic corticosteroids are the mainstay of treatment for nephrotic syndrome, so long-term prescribing of corticosteroids should be carried out with caution. It is reported case of a 15-year-old boy with nephrotic syndrome complains of red streaks appearing on his abdomen, back, buttocks, and lower limbs after 2 months of corticosteroid treatment. Pus-filled nodules develop which become ulcers on the red lines of the back. On physical examination found striaedistensae in the abdominal region, posterior trunk, gluteus, femoral and proximal 1/3 bilateral cruris posterior. Found 3 ulcers on the striaedistensae on the posterior trunk, oval to round shape, size 1x1x0,5 cm to 2x1,5x1 cm, base of necrotic tissue, pus contents, wall echoing, edges are not raised, surrounding tissue is erythematous-livid, tenderness, odor, and no induration. On examination of the ulcer swab with Gram stain found Gram-positive bacteria. The culture results showed Staphylococcus aureus. The patient was treated with topical 0.05% retinoic acid every night at SD, and ulcers were treatedsystemic antibiotics of 2 grams ceftriaxone per day for 1 week, as well as ulcer treatment by compressing 1%0 salicylic acid solution, hydrogel, and foam dressing. After 4 weeks of therapy, there was clinical improvement, thinning striae and reduced ulcer size.