Mononeuritis Multiplex as Initial Manifestation of Pure Neuritic Leprosy & #8212;A Forgotten Cause: Clinical, Electrodiagnostic and Pathologic Correlations

This report describes a case of an atypical presentation of Hansen's disease (HD) as mononeuritis multiplex in the left lower limb with corresponding radiographic, electrodiagnostic, and histopathological data that confirmed pure neuritic leprosy (PNL). We reiterate that although the incidence of PNL is exceedingly low characterized by nerve involvement without the characteristic cutaneous stigmata, leprosy is still the commonest cause of MM in the Indian sub-continent.This report underscores the crucial need for a heightened multi-disciplinary awareness of this “forgotten and uncommon” presentation of PNL. It is imperative that the treating physician should also understand the various neurological presentations, both mimics and chameleons, of this treatable disease to prevent permanent neuropathic injury and disability.

Source: Neurology India - August 25, 2020 Category: Neurology Authors: Bhaskara P Shelley Shrijeet Chakraborti Malla M Manjunath Source Type: research