01778nas a2200169   4500000000100000008004100001260005500042653002600097653001600123100001500139700002400154245012100178856026000299300001000559520101400569022002501583       2026                            d  c05/2026bOvid Technologies (Wolters Kluwer Health)10aPure neuritic leprosy10aCase report1 aSanthosh P1 aKidangazhiathmana A00aComment on the Previously Published Article “Rare Masqueraders of Pure Neuritic Leprosy: A Report of Four Cases”  uhttps://scholar.google.nl/scholar_url?url=https://journals.lww.com/idoj/fulltext/9900/comment_on_the_previously_published_article__rare.694.aspx&hl=nl&sa=X&d=13848535091856536854&ei=TWcJaue1F-mq6rQP0vmLiAY&scisig=AFyMTJUdJlsHn7wKn7IqQys0xv6O&oi=scholaralr  a1 - 13 a<p>Dear Editor,</p>

<p>It was with great interest that we read the article titled “Rare Masqueraders of Pure Neuritic Leprosy: A Report of Four Cases” by Sadhukhan&nbsp;<em>et al</em>.<span style="font-size:12.5px"> </span>The cases described are quite fascinating, and would enlighten the readers on differentials to consider during the evaluation of likely cases of leprosy.</p>

<p>These cases did not have any of the cardinal features of leprosy, of which at least one is essential for a diagnosis of leprosy as per the World Health Organization (WHO): (i) definite loss of sensation in a pale (hypopigmented) or reddish skin patch; (ii) thickened or enlarged peripheral nerve, with loss of sensation and/or weakness of the muscles supplied by that nerve; (iii) microscopic detection of bacilli in a slit-skin smear.<span style="font-size:12.5px"> </span>Among these, thickened or enlarged peripheral nerves would be the most vital criterion for clinically diagnosing pure neuritic leprosy.</p>
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