01585nas a2200181   4500000000100000008004100001653001200042653002400054100001300078700001800091700001300109700001200122245010300134856005100237300001200288490000700300520109600307       2018                            d10aleprosy10aUlnar nerve abscess1 aSingal A1 aKayarkatte MN1 aPandhi D1 aBhatt S00aUnusually massive ulnar nerve abscess in a leprosy patient; a diagnostic and therapeutic challenge  uhttps://leprosyreview.org/article/89/3/28-9295  a289-2950 v893 a<p>An 18 year old male on multibacillary multidrug therapy (MBMDT) for 7 months with the diagnosis of borderline tuberculoid (BT) leprosy, presented with gradually progressive and massive right ulnar nerve abscess and radial cutaneous nerve abscess. He also had mobile complete claw hand of the right side. High resolution ultrasonography (HR USG) of the right ulnar nerve showed markedly thickened ulnar nerve with loss of normal fascicular pattern. It also showed heteroechoic collection, with central anechoic lesion suggestive of ulnar abscess, measuring about 145cc in volume. In addition to MBMDT, the patient was started on tapering oral prednisolone starting 40mg daily. The ulnar nerve abscess was decompressed by percutaneous aspiration on three occasions every 3–4 weeks. Serial HR USG of nerves was carried out throughout the treatment period. No surgical intervention was required. After 24 months of MBMDT, complete resolution of nerve abscess with improvement in right ulnar nerve motor function was noted. The patient underwent corrective surgery for right claw hand.</p>