01535nas a2200349 4500000000100000008004100001260001300042653001500055653001000070653000900080653001900089653002000108653001000128653001100138653001100149653002500160653002300185653000900208653001600217653001800233653002400251653001800275100001700293700001400310700001100324245004700335856004100382300001100423490000700434520073000441022001401171 1999 d c1999 Dec10aAdolescent10aAdult10aAged10aBiopsy, Needle10aBrachial Plexus10aChild10aFemale10aHumans10aLeprosy, Tuberculoid10aLumbosacral Plexus10aMale10aMiddle Aged10aMycobacterium10aSensation Disorders10aSpinal Nerves1 aJayaseelan E1 aShariff S1 aRout P00aCytodiagnosis of primary neuritic leprosy. uhttp://ila.ilsl.br/pdfs/v67n4a09.pdf a429-340 v673 a

The diagnosis of primary neuritic leprosy (PNL) and its differentiation from other causes of peripheral neuropathy is difficult since acid-fast bacilli (AFB) smears and skin biopsy are negative from anesthetic areas. A biopsy of the involved nerve is the only conclusive method of diagnosis. Such a biopsy may not necessarily be free of complications when a large nerve is involved. However, fine needle aspiration has in this study proved to be a simple technique to demonstrate inflammation granulomas and AFB from these involved nerves in 18 of the 27 cases suspected to have PNL. The validity of the cytological classification into morphological subtypes may have to be supplemented by a large series of studies.

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