00852nas a2200121   4500000000100000008004100001100001000042700001300052245004900065856005600114490000700170520055300177       2017                            d1 aZia M1 aAnwar MI00aDelayed diagnosis of neural signs of leprosy  uhttp://jpad.com.pk/index.php/jpad/article/view/10900 v273 a<p>Leprosy is a chronic granulomatous disease caused by <em>Mycobacterium leprae</em>. It mainly affects the peripheral nerves and skin. Neural symptoms often precede the appearance of skin lesions but in many cases leprosy is not considered as a cause, leading to a delay in diagnosis. Ensuing nerve damage leads to deformity and disability. We herein, describe two adult males who first presented with neural symptoms, but in both the cases the diagnosis of leprosy was delayed by several years. The outcome in both was a visible deformity.</p>