Hansen's disease in Arizona

With the recent influx of refugees from third world countries where Hansen's Disease is endemic, the incidence of leprosy in the U.S. is increasing. The number of cases reported, however, remains small and the risk to the general public is very low. Physicians should entertain the possibility of Hansen's Disease whenever a patient, who has lived in a third world country, presents with chronic complaints referable to the skin, peripheral nerves or upper respiratory tract. A high index of suspicion, appropriate use of skin punch biopsy and a basic knowledge of Hansen's Disease clinical types, treatment regimens and resources for referral will lead to appropriate care.