Nine cases of leprosy in patients treated at a large renal transplant
centre in South Asia are described. Three had leprosy diagnosed before
transplantation and had either completed or were continuing chemother
apy at the time of transplantation. One showed exacerbation of undiscl
osed leprosy after transplantation. Five patients developed the diseas
e for the first time 22 months to 12 years after transplantation. Immu
nosuppression did not adversely affect the treatment of leprosy in any
of the patients though concurrent liver disease required cessation of
rifampicin in one patient.