01764nas a2200301   4500000000100000008004100001260003500042653002200077653002900099653002700128100001200155700001300167700001200180700001500192700001300207700001700220700001500237700001300252700001100265700001200276700001300288245006500301856007200366300001200438490000700450520098000457022002501437       2024                            d  bBangladesh Academy of Sciences10aDiagnostic enigma10aPrimary neuritic leprosy10aMononeuritis multiplex1 aAhmed S1 aRahman A1 aAhmed T1 aHossain MA1 aMishu MH1 aAgarwalla AK1 aRussel AHM1 aKhan SMD1 aPaul B1 aSaha PK1 aIslam MD00aDiagnostic Enigma in a rare Case of Primary Neuritic Leprosy  uhttps://www.banglajol.info/index.php/BJMED/article/view/75847/50494  a214-2170 v353 a<p>Leprosy is one of the most prevalent diseases affecting peripheral nerves. Pure neuritic leprosy accounts for 4-10% of all leprosy cases, with clinical symptoms restricted to the peripheral nerves and no skin abnormalities. Leprosy is diagnosed based on the skin and nerves' typical clinical and histological involvement.The absence of typical dermatological characteristics significantly reduces clinical diagnosis accuracy, necessitating histological confirmation.&nbsp;We presented the case of a 26-year-old male with an 8-year history of growing numbness in his right leg, recurrent ulcers in his right foot, and hand abnormalities. The patient was subsequently identified with pure neural leprosy (PNL), a kind of leprosy that affects peripheral nerves but lacks conventional skin lesions. As a result, in leprosy-endemic countries such as Bangladesh, this kind of leprosy should be extensively explored, especially in patients with no skin abnormalities.&nbsp;</p>
  a2408-8366, 1023-1986