Leprosy is a disease primarily affecting the skin and the nerve. In certain situations nerve involvement is seen in the absence of skin lesions. Such cases of leprosy are negative on skin smear examination and are referred to as Pure Neural or Primary Neuritic Leprosy (PNL).1 The fact that it may resemble other peripheral neuropathies and does not have demonstrable bacilli in skin smears contributes to the delay in diagnosis.2 High Resolution Ultrasound (HRUS) has been shown to be a useful technique to detect leprosy nerve damage.3,4We present a case report of PNL where HRUS gave significant information for diagnosis and management.
BT - Leprosy review CN - JAIN 2013 IS - 2 J2 - Lepr Rev. LA - eng N2 -Leprosy is a disease primarily affecting the skin and the nerve. In certain situations nerve involvement is seen in the absence of skin lesions. Such cases of leprosy are negative on skin smear examination and are referred to as Pure Neural or Primary Neuritic Leprosy (PNL).1 The fact that it may resemble other peripheral neuropathies and does not have demonstrable bacilli in skin smears contributes to the delay in diagnosis.2 High Resolution Ultrasound (HRUS) has been shown to be a useful technique to detect leprosy nerve damage.3,4We present a case report of PNL where HRUS gave significant information for diagnosis and management.
PY - 2013 EP - 161–165 T2 - Leprosy review TI - Use of high resolution ultrasonography as an additional tool in the diagnosis of primary neuritic leprosy: a case report UR - http://www.lepra.org.uk/platforms/lepra/files/lr/June13/Lep161-165.pdf VL - 84 ER -