Surgical treatment of type I neuritis in a teenage boy with borderline tuberculoid leprosy

Revista da Sociedade Brasileira de Medicina Tropical

Instituto Lauro de Souza Lima, Bauru, Brazil¹  Barreto, Jaison Antônio¹  Universidade Estadual Paulista, Botucatu, Brazil¹  Wachholz, Patrick Alexander¹  Figueira, Renata Borges Fortes da Costa¹  Soares, Cleverson Teixeira¹  Masuda, Paula Yoshiko¹  Sette, Christiane Salgado¹  Filho, Milton Cury¹ 

关键词: Borderline leprosy;    Neuritis;    Leprosy therapy;    Minor surgical procedures;    Leprosy surgery;   

DOI  :  10.1590/0037-8682-0259-2014

学科分类：农业科学（综合）

来源: Sociedade Brasileira de Medicina Tropical

【 摘 要 】

Exacerbation of the immune response against Mycobacterium leprae can lead to neuritis, which is commonly treated via immunosuppression with corticosteroids. Early neurolysis may be performed concurrently, especially in young patients with a risk of functional sequelae. We report the case of a young patient experienced intense pain in the left elbow one year after the treatment of tuberculoid-tuberculoid leprosy. The pain was associated with paresthesias in the ulnar edge and left ulnar claw. After evaluation, the diagnosis was changed to borderline tuberculoid leprosy accompanied with neuritis of the left ulnar nerve. Early neurolysis resulted in rapid reduction of the pain and recovery of motor function.Key words: Borderline leprosy; Neuritis; Leprosy therapy; Minor surgical procedures; Leprosy surgery

【 授权许可】

Unknown