01666nas a2200217   4500000000100000008004100001260005500042653002600097653001600123100001600139700001500155700001200170700001200182700001200194700001300206245012900219856026000348300001000608520080500618022002501423       2026                            d  c05/2026bOvid Technologies (Wolters Kluwer Health)10aPure neuritic leprosy10aCase report1 aSadhukhan S1 aBhardwaj A1 aKumar S1 aYadav T1 aPatra S1 aTiwari S00aAuthors’ Response to Comment on 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/_layouts/15/oaks.journals/downloadpdf.aspx%3Fan%3D01630814-990000000-00700&hl=nl&sa=X&d=8341368701777160929&ei=TWcJaue1F-mq6rQP0vmLiAY&scisig=AFyMTJWqbQJY7NhCqhBtiC9ZAqQj&oi=scholaral  a1 - 33 a<p>Dear Editor,</p>

<p><br />
We appreciate the interest shown by the authors in our recent publication and thank them for their critical observations.&nbsp;We would like to take this opportunity to clarify and respond to the points raised.</p>

<p>We agree that overall sensory loss is one factor that was either lacking or minimal in our cases. In leprosy, sensory loss and motor weakness along the distribution of affected nerve trunk over the limbs can be variable. In early cases, sensory loss may be difficult to appreciate clinically, and we may need a nerve<br />
conduction velocity study to diagnose and identify the pattern of nerve involvement. In all our cases, the deformity of the hands mimicked that of leprosy, which can be misdiagnosed at the primary health care level.</p>
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