01622nas a2200145   4500000000100000008004100001100001000042700001300052700001600065245005200081856007500133300001200208490000700220520124900227       2020                            d1 aKale 1 aGadgil N1 aChaudhari C00aPure Neuritic Leprosy : A Series of Three Cases  uhttp://www.ijl.org.in/2020/09%20Kale%20et%20al%20(125-130)%20final.pdf  a125-1300 v923 aOver the years, there has been significant decreasing trend in the prevalence of leprosy in India. Although the prevalence of leprosy in India is on a steady fall, the new case detection rate (NCDR) is not showing a parallel decline. The Leprosy Case Detection Campaign (LCDC), 2018 identified 363 hidden cases of leprosy in Mumbai. Polyneuritic Leprosy (PNL) has been considered relatively uncommon and reported only in 1.5% to 8.1% of leprosy patients. However, recent Indian studies have shown a greater incidence of PNL amongst all the leprosy cases diagnosed ranging from 5.5% to 18%. PNL does not present with skin lesions, hence many of them are likely to remain underdiagnosed for a long time. The patients usually visit Medicine and Neurology clinics for the symptoms and may be misinterpreted as neuropathies. The clinical suspicion of PNL is made in case of thickened peripheral nerve trunk associated with tenderness or sensory impairment and lack of skin lesions. Nerve biopsy is the gold standard for diagnosis of PNL followed by classification of cases as given by Indian Association of Leprologists (IAP 1982). We present here three cases of PNL diagnosed on nerve biopsy and discuss them in the context of review of literature.