Please use this identifier to cite or link to this item: https://www.arca.fiocruz.br/handle/icict/12557
Title: Isolated median neuropathy as the first symptom of leprosy
Authors: Vital, Robson Teixeira
Illarramendi, Ximena
Antunes, Sérgio Luiz Gomes
Nascimento, Márcio
Nery, José Augusto da Costa
Nascimento, Oswaldo
Sarno, Euzenir Nunes
Jardim, Márcia Rodrigues
Affilliation: Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Hanseníase. Rio de Janeiro, RJ, Brasil / Universidade Federal Fluminense. Departamento de Neurologia. Niterói, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Hanseníase. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Hanseníase. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Hanseníase. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Hanseníase. Rio de Janeiro, RJ, Brasil
Universidade Federal Fluminense. Departamento de Neurologia. Niterói, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Hanseníase. Rio de Janeiro, RJ, Brasil
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Hanseníase. Rio de Janeiro, RJ, Brasil
Abstract: INTRODUCTION: Focal peripheral neuropathy of the median nerve is mainly caused by a traumatic event or pressure, but it may also be produced by systemic illnesses. Among the latter, leprosy is a rare cause. METHODS: Six cases of isolated median neuropathy as the first sign of leprosy were selected from patients with an exclusively neurological complaint as the initial symptom. The patients, evaluated at the National Leprosy Reference Center in Rio de Janeiro, Brazil, followed routine and specialized procedures. RESULTS: Three of the patients had pure neural leprosy, and 3 had skin lesions. Clinical median nerve function impairment was confirmed by neurophysiological testing and histopathology. Both mononeuritis and mononeuritis multiplex were observed. CONCLUSIONS: This case series demonstrates an additional form of presentation of leprosy, which, if not diagnosed and treated in time, may lead to permanent disability.
Keywords: Bone resorption
Digital neuropathy
Leprosy
Median neuropathy
Nerve biopsy
Pure neural leprosy
DeCS: Reabsorção Óssea
Hanseníase
Neuropatia Mediana
Issue Date: 2013
Publisher: Wiley Online Library
Citation: VITAL, Robson Teixeira; et al. Isolated median neuropathy as the first symptom of leprosy. Muscle & Nerve, v.48, n.2, p.179-184, Aug. 2013.
DOI: 10.1002/mus.23731
ISSN: 1097-4598
Copyright: restricted access
Appears in Collections:IOC - Artigos de Periódicos

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