01752nas a2200169   4500000000100000008004100001100001300042700001200055700001000067700001400077700001100091245013800102856009000240300001000330490000700340520123500347       2020                            d1 aHaldar N1 aHaldar 1 aSaha 1 aHaldar NR1 aGhosh 00aUltrasound guided Fine needle aspiration cytology in diagnosing Primary neuritic leprosy cases at Sub-Himalayan region of West Bengal  uhttps://www.iosrjournals.org/iosr-jdms/papers/Vol19-issue12/Series-14/D1912142327.pdf  a23-270 v193 aBackground: The present study was undertaken to assess the capacity of High Resolution Ultra Sonography
and fine needle aspiration cytology of ulnar & popliteal nerves in the detection of pure neuritic leprosy.
Materials & Methods: From 15th April, 2016 upto 14th April 2019 800 suspected cases of pure neuritic leprosy
attending Out Patient Department of “The Tenovus Diagnostic & Research Centre Pvt. Ltd”, Hakimpara,
Siliguri were screened by High Resolution Ultrasonography followed by USG guided Fine needle aspiration
cytology (FNAC) on all ultrasonographically hypoechoic nerves. Cytological & Microbiological studies were
performed at the ‘The Microbes’ Pathological laboratory, Ashrampara, Siliguri
Results: 608 (76%) cases showed diffusely hypoechoic nerves. Of all the 608 hypoechoic nerves subjected to
USG guided FNAC 529 (87%) showed features of neuritis and 237 (39%) showed presence of Acid fast bacilli
(AFB) in Ziehl-Neelsen (Z – N) stain. Presence of epithelioid cell granuloma and langhans giant cells were seen
in 292 (48%) of the cases.
Conclusion: High resolution Ultrasonography and USG guided FNAC are effective new screening tool in the
investigation of Pure Neuritic Leprosy cases.