01130nas a2200217 4500000000100000008004100001653001900042653002600061653001200087100001100099700000900110700001000119700001100129700001000140245007900150856005000229300000700279490000700286520060500293022001400898 2013 d10aProprioception10aPeripheral neuropathy10aleprosy1 aYoon T1 aJo H1 aYuk J1 aShin J1 aKim D00aLeprous Neuropathy Associated with Predominant Proprioceptive Sensory Loss uhttp://dx.doi.org/10.14253/kjcn.2013.15.1.19 a190 v153 a
Some patients with leprosy may present with atypical features, such as isolated peripheral neuropathy without skin lesions, or marked proprioceptive dysfunction. We report a 56-year-old female who presented with predominant proprioceptive loss without skin lesion, but was finally confirmed as leprous neuropathy by sural nerve biopsy. It is postulated that large myelinated fibers were affected by chronic immunological reactions triggered by inactive bacterial particles, producing a peripheral neuropathy presenting as predominant proprioceptive sensory loss without typical skin lesions.
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