01389nas a2200277   4500000000100000008004100001653000900042653002900051653001200080653001000092653003600102653001400138100001100152700001400163700001500177700001100192700001400203700001300217700001500230245012500245856005100370300001400421490000700435050001400442520065500456       2013                            d10aTool10aPrimary neuritic leprosy10aleprosy10aIndia10aHigh resolution ultrasonography10adiagnosis1 aJain S1 aVisser LH1 aYerasu M R1 aRaju R1 aMeena A K1 aLokesh B1 aSuneetha S00aUse of high resolution ultrasonography as an additional tool in the diagnosis of primary neuritic leprosy: a case report  uhttps://leprosyreview.org/article/84/2/16-1165  a161–1650 v84  aJAIN 20133 a<p>Leprosy is a disease primarily affecting the skin and the nerve. In certain situations nerve involvement is seen in the absence of skin lesions. Such cases of leprosy are negative on skin smear examination and are referred to as Pure Neural or Primary Neuritic Leprosy (PNL).1 The fact that it may resemble other peripheral neuropathies and does not have demonstrable bacilli in skin smears contributes to the delay in diagnosis.2 High Resolution Ultrasound (HRUS) has been shown to be a useful technique to detect leprosy nerve damage.3,4We present a case report of PNL where HRUS gave significant information for diagnosis and management.</p>