01421nas a2200217 4500000000100000008004100001653001200042653000800054653001600062653001800078100001300096700001300109700001200122700001300134700001200147700001200159245012300171856007700294490000700371520082500378 2015 d10aleprosy10aHIV10aCoinfection10aNerve abscess1 aKarjigi 1 aHerakal 1 aMurthy 1 aBathina 1 aKusuma 1 aNikhil 00aPrimary Neuritic Hansen's Disease presenting as Ulnar Nerve Abscess in a Human Immunodeficiency Virus Positive Patient uhttp://www.ijl.org.in/2015/6%20Karjigi%20(Lep)%20et%20al%20(169-174).pdf0 v873 a

Leprosy has been increasingly known to have an enigmatic relationship with human immunodeficiency virus infection. Co-infection may result in atypical manifestations of leprosy. A 45-year old human immunodeficiency virus-positive male; agricultural laborer presented with a swelling over right elbow, right hand deformity, generalized itching and recurrent vesicles overthe perinasal area. Clinical and investigational findings were consistent with mononeuritic type of Hansen's disease with right sided silent ulnar nerve abscess, partial claw hand. CD4+ count of the patientwas 430 cells/cmm. This patient also hadherpes simplex labialis, with HIV-associated pruritus. To the best of our knowledge such an atypical presentation has not been reported earlier.