01520nas a2200349 4500000000100000008004100001260001300042653001000055653001900065653002800084653001400112653001600126653001100142653002400153653001600177653001800193653000900211653002500220653000900245653001700254653001300271653003000284100001600314700001300330700001400343700001200357245010700369300001200476490000700488520066100495022001401156 1998 d c1998 Sep10aAdult10aBiopsy, Needle10aDiagnosis, Differential10aGranuloma10aHistiocytes10aHumans10aLeprosy, Borderline10aLymph Nodes10aLymphadenitis10aMale10aMycobacterium leprae10aNeck10aNerve Fibers10aNeuritis10aPeripheral Nervous System1 aDeshpande V1 aKapila K1 aSingh M K1 aVerma K00aNeuritic Hansen's disease: an unusual presentation and a diagnostic challenge on fine-needle aspirate. a198-2000 v193 a
Fine-needle aspiration cytology is now routinely used in the diagnosis of cervical lumps. We report on a case of leprous neuritis which presented as a cervical swelling. A diagnosis of leprosy was suggested on the basis of globi within histiocytes. These histiocytes differed from those classically described in leprosy. Retrospective review demonstrated the presence of occasional nerve fragments, and some of these closely resembled granulomas. The possible close resemblance of this lesion to tuberculosis and a histiocytic proliferative disorder is highlighted. Recognition of nerve fragments along with histiocytes should suggest the diagnosis.
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