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Primary neuritic leprosy: a reappraisal at a tertiary care hospital.
Indian J Lepr 2006 Jul-Sep; 78(3):261-7IJ

Abstract

AIM

To study the clinico-epidemiological profile of primary neuritic leprosy.

METHODS

Retrospective analysis of the leprosy records of clinically diagnosed patients of PNL who attended the Leprosy Clinic from 2000 to 2004 was carried out for details of presenting complaints, age and sex distribution, duration, number of nerves involved and pattern of nerve enlargement, BI (skin), nerve abscess, and deformities.

RESULTS

There were 32 (4.6%) patients of PNL out of a total of 686. Majority (56.2%) had complaints for less than a year. There were 29 (90.6%) males, and 3 (9.4%) females, with 15-30 years as the commonest age-group (65.6%) involved. Paraesthesia and numbness were the presenting complaints in 20 (62.5%), and motor deficit (paresis) in 11 (34.4%); deformities (claw hand, foot drop, trophic changes) were seen in 16 (50%) cases. Polyneuritic pattern was noted in 21 (63.56%) patients and mononeuritic in 11 (16.5%) with ulnar nerve as the most commonly enlarged nerve (63.6%). Nerve abscess was noted in 4 (12.5%) cases. Slit-skin smear was positive in 2 (6.2%) cases only.

DISCUSSION

PNL continues to be common in India. Sensory complaints are early and more common. The disease is more common in males. Polyneuritic pattern was predominant, and the ulnar nerve was the most commonly involved nerve. Majority of the cases belong to the tuberculoid spectrum. Early diagnosis depends on complete neurological examination in order to reduce the sequelae of the disease.

Authors+Show Affiliations

Department of Dermatology and Sexually Transmitted Diseases, Lady Hardinge Medical College and Associated SSK & KSC Hospitals, New Delhi 110 001, India.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17120509

Citation

Mendiratta, V, et al. "Primary Neuritic Leprosy: a Reappraisal at a Tertiary Care Hospital." Indian Journal of Leprosy, vol. 78, no. 3, 2006, pp. 261-7.
Mendiratta V, Khan A, Jain A. Primary neuritic leprosy: a reappraisal at a tertiary care hospital. Indian J Lepr. 2006;78(3):261-7.
Mendiratta, V., Khan, A., & Jain, A. (2006). Primary neuritic leprosy: a reappraisal at a tertiary care hospital. Indian Journal of Leprosy, 78(3), pp. 261-7.
Mendiratta V, Khan A, Jain A. Primary Neuritic Leprosy: a Reappraisal at a Tertiary Care Hospital. Indian J Lepr. 2006;78(3):261-7. PubMed PMID: 17120509.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Primary neuritic leprosy: a reappraisal at a tertiary care hospital. AU - Mendiratta,V, AU - Khan,A, AU - Jain,A, PY - 2006/11/24/pubmed PY - 2006/12/22/medline PY - 2006/11/24/entrez SP - 261 EP - 7 JF - Indian journal of leprosy JO - Indian J Lepr VL - 78 IS - 3 N2 - AIM: To study the clinico-epidemiological profile of primary neuritic leprosy. METHODS: Retrospective analysis of the leprosy records of clinically diagnosed patients of PNL who attended the Leprosy Clinic from 2000 to 2004 was carried out for details of presenting complaints, age and sex distribution, duration, number of nerves involved and pattern of nerve enlargement, BI (skin), nerve abscess, and deformities. RESULTS: There were 32 (4.6%) patients of PNL out of a total of 686. Majority (56.2%) had complaints for less than a year. There were 29 (90.6%) males, and 3 (9.4%) females, with 15-30 years as the commonest age-group (65.6%) involved. Paraesthesia and numbness were the presenting complaints in 20 (62.5%), and motor deficit (paresis) in 11 (34.4%); deformities (claw hand, foot drop, trophic changes) were seen in 16 (50%) cases. Polyneuritic pattern was noted in 21 (63.56%) patients and mononeuritic in 11 (16.5%) with ulnar nerve as the most commonly enlarged nerve (63.6%). Nerve abscess was noted in 4 (12.5%) cases. Slit-skin smear was positive in 2 (6.2%) cases only. DISCUSSION: PNL continues to be common in India. Sensory complaints are early and more common. The disease is more common in males. Polyneuritic pattern was predominant, and the ulnar nerve was the most commonly involved nerve. Majority of the cases belong to the tuberculoid spectrum. Early diagnosis depends on complete neurological examination in order to reduce the sequelae of the disease. SN - 0254-9395 UR - https://www.unboundmedicine.com/medline/citation/17120509/Primary_neuritic_leprosy:_a_reappraisal_at_a_tertiary_care_hospital DB - PRIME DP - Unbound Medicine ER -