01358nas a2200241   4500000000100000008004100001653001200042653001800054653000800072653001000080653002100090100000900111700001400120700001300134700001300147700001700160245010300177856005700280300000800337490000700345520075000352022001401102       2015                            d10aleprosy10aTenosynovitis10aPCR10aIndia10aNeuritic leprosy1 aDe A1 aSurana TV1 aBiswas S1 aReja AHH1 aChatterjee G00aIsolated tenosynovitis as a sole manifestation: the great mimicker still continues to surprise us.  uhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC4372940/  a2130 v603 a<p>A middle aged male presented with non-tender cystic swelling over left distal forearm since 1 year. No other cutaneous abnormality could be found except mild paresthesia of the overlying skin and equivocal thickening of the ipsilateral ulnar nerve. Routine investigation was within normal limits. Detailed workup of the patient including MRI of the lesion suggested the diagnosis as tenosynovitis with a soft tissue mass. Fine needle aspiration cytology from the cyst showed foamy macrophages and acid fast bacilli; while PCR of the aspirate confirmed the etiological agent as M. leprae. We, thus, report a unique case of isolated tenosynovitis as a sole manifestation of pure neural leprosy which is extremely rare in world literature.</p>
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