{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T06:41:13Z","timestamp":1771051273641,"version":"3.50.1"},"reference-count":13,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,6,5]],"date-time":"2025-06-05T00:00:00Z","timestamp":1749081600000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Leprosy, one of the Neglected Tropical Diseases (NTDs), can be diagnosed based on any of its three characteristics: a hypopigmented or reddish skin patch with sensory loss, thickened peripheral nerves with sensory impairment, and a positive skin smear for acid\u2010fast bacilli (AFB). In this article, we present two cases: a 30\u2010year\u2010old male misdiagnosed with\n                    <jats:italic>Tinea corporis<\/jats:italic>\n                    infection for a year before being correctly diagnosed with borderline tuberculoid leprosy via biopsy, and an 18\u2010year\u2010old male who discontinued multidrug therapy (MDT) due to stigma and later presented with a type 2 lepra reaction. These cases show hidden leprosy in Far West Nepal, highlighting the need for early diagnosis and treatment, addressing the stigmas and promoting proper knowledge, and additionally, the need to ensure a collaborative response from health workers, local government, and the community to prevent disabilities and reduce the psychological and socio\u2010economic burden on individuals.\n                  <\/jats:p>","DOI":"10.1002\/ccr3.70547","type":"journal-article","created":{"date-parts":[[2025,6,6]],"date-time":"2025-06-06T00:39:29Z","timestamp":1749170369000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Beyond Elimination: Unveiling Leprosy Cases in Far West Nepal"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-9752-3900","authenticated-orcid":false,"given":"Smriti Lama","family":"Thing","sequence":"first","affiliation":[{"name":"Purchaudi Hat Health Post  Baitadi Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8512-1482","authenticated-orcid":false,"given":"Deepak","family":"Subedi","sequence":"additional","affiliation":[{"name":"Patan Hospital  Lalitpur Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-3493-8966","authenticated-orcid":false,"given":"Anita","family":"Tamang Waiba","sequence":"additional","affiliation":[{"name":"Patan Academy of Health Sciences  Patan Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-1934-6347","authenticated-orcid":false,"given":"Neha","family":"Bista","sequence":"additional","affiliation":[{"name":"Hetauda Hospital  Makawanpur Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Apsara","family":"Hamal","sequence":"additional","affiliation":[{"name":"Patan Academy of Health Sciences  Lalitpur Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monika","family":"Gurung","sequence":"additional","affiliation":[{"name":"Patan Academy of Health Sciences  Lalitpur Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,6,5]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13256-019-2198-1"},{"key":"e_1_2_13_3_1","first-page":"559","article-title":"Epidemiologic Characteristics of Leprosy Reaction","volume":"62","author":"Scollard D. M.","year":"1994","journal-title":"International Journal of Leprosy and Other Mycobacterial Diseases"},{"key":"e_1_2_13_4_1","unstructured":"The Leprosy Mission \u201cProgress Report \u201dThe Leprosy Mission https:\/\/www.leprosymission.org\/about\u2010us\/our\u2010strategic\u2010priorities\/(2023)."},{"key":"e_1_2_13_5_1","unstructured":"\u201cLeprosy Operational Guideline\u20102075 \u201dhttps:\/\/edcd.gov.np\/resource\u2010detail\/leprosy\u2010operational\u2010guideline\u20102075."},{"key":"e_1_2_13_6_1","unstructured":"World Health Organization \u201cThe Global Health Observatory. Leprosy (Hansen Disease) \u201dhttps:\/\/www.who.int\/data\/gho\/data\/themes\/topics\/leprosy\u2010hansens\u2010disease#:~:text=In%202023%2C%20184%20countries%2C%20areas of%20them%20were%20among%20children(2024)."},{"key":"e_1_2_13_7_1","unstructured":"The Leprosy Mission \u201cWorld Health Organization \u201dWeekly Epidemiological Record https:\/\/iris.who.int\/bitstream\/handle\/10665\/345048\/WER9636\u2010eng\u2010fre.pdf?sequence=1&isAllowed=y."},{"key":"e_1_2_13_8_1","unstructured":"R.Pant \u201cLeprosy Control Program Government of Nepal Ministry of Health and Population \u201dhttp:\/\/dohs.gov.np\/division\/leprosy\u2010control\u2010program\/(2018)."},{"key":"e_1_2_13_9_1","unstructured":"Government of Nepal \u201cEpidemiology and Disease Control Division. Leprosy Control and Disability Management Section \u201dNational Leprosy Strategy (2021\u20132025) https:\/\/publichealthupdate.com\/national\u2010leprosy\u2010strategy2021\u20102025\/(2023)."},{"key":"e_1_2_13_10_1","volume-title":"Technical Guidance on Interruption of Transmission and Elimination of Leprosy Disease","author":"World Health Organization","year":"2023"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.4103\/ijd.ijd_777_22"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/inthealth\/ihad099"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.47276\/lr.93.1.12"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.5348\/100058Z06MA2019CR"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.70547","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T13:55:25Z","timestamp":1764251725000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.70547"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6]]},"references-count":13,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,6]]}},"alternative-id":["10.1002\/ccr3.70547"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.70547","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6]]},"assertion":[{"value":"2024-10-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-18","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-05","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70547"}}