The diagnosis of leprosy among patients with symptoms of peripheral neuropathy without cutaneous lesions: a follow-up study

Arquivos de Neuro-Psiquiatria

Michael Skacel¹  SÉrgio Luiz Gomes Antunes²  MÁrcia Maria Jardim Rodrigues¹  JosÉ Augusto Da Costa Nery¹  VÂnia Da Costa Valentim¹  Renata PatrÍcio Braga De Morais¹  Euzenir Nunes Sarno¹ 

[1] ,Instituto Oswaldo Cruz Laboratório de Hanseníase Rio de Janeiro,Brasil

关键词: leprosy;    neuritic leprosy;    peripheral neuropathy;    hanseníase;    neurite;    neuropatia periférica;   

DOI  :  10.1590/S0004-282X2000000500002

来源: SciELO

【 摘 要 】

Forty-four patients with neuritic leprosy were individually followed for periods ranging from 4 months to almost 4 years for the purpose of ascertaining the presence and/ or absence of leprosy. The neural symptoms presented were sensory impairment (41), parasthesia (28), nerve enlargement (22), nerve tenderness (20), paresia (20), amyotrophy (8). Leprosy was diagnosed in ten out of the total number of patients studied. Leprosy was confirmed by the appearance of reactional neuritis (4), reversal reaction (2), biopsy of the hypoesthesic area (3) and the appearance of non-reactional cutaneous lesion. We reported an experience in the diagnosis of neuritic leprosy and its most frequent clinical presentation with which clinicians have to be acquainted. We can also state that the clinical follow-up was an effective strategy for the diagnosis of the disease when diagnostic facilities are not available or have not confirmed the diagnosis.

【 授权许可】

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