Tehran University of Medical Sciences Iranian Journal of Microbiology 2008-3289 16 5 2024 10 19 716 718 Khyathi Reddy Pilaka Clinical and Epidemiology Division, LEPRA Society - Blue Peter Public Health and Research Centre (BPHRC), Cherlapally, Hyderabad, India Michael Sukumar Pallapati Clinical and Epidemiology Division, LEPRA Society - Blue Peter Public Health and Research Centre (BPHRC), Cherlapally, Hyderabad, India Zakaraiah Jaladi Clinical and Epidemiology Division, LEPRA Society - Blue Peter Public Health and Research Centre (BPHRC), Cherlapally, Hyderabad, India Kumar Ebineshan Department of Microbiology, LEPRA Society - Blue Peter Public Health and Research Centre (BPHRC), Cherlapally, Hyderabad, India 2024 06 21 2024 08 23 Leprosy in children is considered as an indicator of active disease transmission in the community. We report about a seven-year-old male from Telangana, India, with anesthetic skin lesions and familial leprosy history. Clinical examination revealed multiple, dry, scaly, hypopigmented, well-defined, raised punched out anesthetic skin lesions all over the body with both ulnar nerves enlarged. On clinical and laboratory examination, the child was diagnosed with borderline-borderline (BB), multibacillary (MB) leprosy, and Type-1 reaction. The child received a weight-adjusted MB multidrug therapy regimen and corticosteroids for type-1 reactions. This case emphasizes the need for contact tracing and screening for early diagnosis of child leprosy to prevent complications like leprosy reactions which are the risk factors for disability. https://ijm.tums.ac.ir/index.php/ijm/article/view/4866 https://ijm.tums.ac.ir/index.php/ijm/article/download/4866/1719