01817nas a2200229   4500000000100000008004100001260001200042653002100054653001200075653001700087653001700104653002600121100001400147700001800161700001600179245015300195856012400348300001200472490000700484520108200491022001401573       2020                            d  c01/202010aHansen's disease10aleprosy10amononeuritis10anerve biopsy10apure neuritic leprosy1 aShelley B1 aChakraborti S1 aManjunath M00aMononeuritis Multiplex as Initial Manifestation of Pure Neuritic Leprosy-A Forgotten Cause: Clinical, Electrodiagnostic and Pathologic Correlations.  uhttp://www.neurologyindia.com/article.asp?issn=0028-3886;year=2020;volume=68;issue=4;spage=922;epage=926;aulast=Shelley  a922-9260 v683 a<p>Despite being common, polyneuropathy remains a diagnostic challenge for most clinicians. Mononeuritis multiplex (MM) refers to involvement of several or many peripheral nerves at the same or different points in time by a disease process. This report describes a case of an atypical presentation of Hansen's disease (HD) as mononeuritis multiplex in the left lower limb with corresponding radiographic, electrodiagnostic, and histopathological data that confirmed pure neuritic leprosy (PNL). We reiterate that although the incidence of PNL is exceedingly low characterized by nerve involvement without the characteristic cutaneous stigmata, leprosy is still the commonest cause of MM in the Indian sub-continent.This report underscores the crucial need for a heightened multi-disciplinary awareness of this "forgotten and uncommon" presentation of PNL. It is imperative that the treating physician should also understand the various neurological presentations, both mimics and chameleons, of this treatable disease to prevent permanent neuropathic injury and disability.</p>  a1998-4022