@article{article, keywords = {Diagnostic enigma, Primary neuritic leprosy, Mononeuritis multiplex}, author = {Ahmed S and Rahman A and Ahmed T and Hossain MA and Mishu MH and Agarwalla AK and Russel AHM and Khan SMD and Paul B and Saha PK and Islam MD}, title = {Diagnostic Enigma in a rare Case of Primary Neuritic Leprosy}, abstract = {
Leprosy is one of the most prevalent diseases affecting peripheral nerves. Pure neuritic leprosy accounts for 4-10\% of all leprosy cases, with clinical symptoms restricted to the peripheral nerves and no skin abnormalities. Leprosy is diagnosed based on the skin and nerves{\textquoteright} typical clinical and histological involvement.The absence of typical dermatological characteristics significantly reduces clinical diagnosis accuracy, necessitating histological confirmation.\ We presented the case of a 26-year-old male with an 8-year history of growing numbness in his right leg, recurrent ulcers in his right foot, and hand abnormalities. The patient was subsequently identified with pure neural leprosy (PNL), a kind of leprosy that affects peripheral nerves but lacks conventional skin lesions. As a result, in leprosy-endemic countries such as Bangladesh, this kind of leprosy should be extensively explored, especially in patients with no skin abnormalities.\
}, year = {2024}, journal = {Bangladesh Journal of Medicine}, volume = {35}, pages = {214-217}, publisher = {Bangladesh Academy of Sciences}, issn = {2408-8366, 1023-1986}, url = {https://www.banglajol.info/index.php/BJMED/article/view/75847/50494}, doi = {10.3329/bjm.v53i3.75847}, language = {ENG}, }