01585nas a2200157 4500000000100000008004100001100001400042700001800056700001500074700001500089245006900104856006900173490000600242520116500248022001401413 2016 d1 aPondé JM1 aBittencourt J1 aTanajura A1 aRibeiro CD00aUlnar Nerve Decompression in Neural Form of Leprosy in Childhood uhttps://www5.bahiana.edu.br/index.php/medicine/article/view/10120 v43 a
Leprosy is a disease that potentially affects adults with a long latency period of 3 to 5 years. However,
children are prone to acquire the disease especially in places of high prevalence and poor epidemiologic
control. The surgical decompression is an ancillary method of treatment, although recent investigations
call attention for the similarity of results of conservative management. The objective of this study, then,
was to call attention for surgical indication in leprosy patients with ulnar impairment soon after failure
of conservative management. The authors describe and analyze a case of an outpatient operated child
with ulnar nerve involvement by leprosy after 1 year of clinical treatment and failure. The predominant
symptoms were pain and physical deformity. There was a great improvement following the surgery even
after delayed operation. The surgical intervention is sometimes necessary to avoid deformities although
more randomized series must confi rm the superiority of surgery in relation to clinical management in
some cases.
a2317-3386