None of these cases had shown any clinical pointers towards gross immunosuppression as also other cases who responded beller after 6 months of MDT. Further studies on elaborate immunological work up, which was not part of this study, may be considered on as required basis depending on available facilities during the period of surveillance in these cases. LtColPKKAR Classified Specialist (Dcrm & Yen) 151 Base Hospital, C/o 99 APO Letters to the Editor REFERENCES .