01671nas a2200337   4500000000100000008004100001653000900042653001500051653001200066653001100078653001200089653002500101653000900126653001300135100001000148700001500158700001200173700001100185700001500196700001200211700001300223700001100236700001200247700001300259245004700272856005100319300001100370490000700381520093100388022001401319       2013                            d10aHand10aAdolescent10aAbscess10aHumans10aleprosy10aLeprosy, Tuberculoid10aMale10aNeuritis1 aRai D1 aMalhotra H1 aGarg RK1 aGoel M1 aMalhotra K1 aKumar V1 aSingh AK1 aJain A1 aKohli N1 aSingh SK00aNerve abscess in primary neuritic leprosy.  uhttps://leprosyreview.org/article/84/2/13-6140  a136-400 v843 a<p>Nerve abscess is an infrequently reported complication of leprosy. We describe a patient with a pure neuritic type of leprosy with multiple nerve abscesses, who presented with tingling and numbness in the medial aspect of his right forearm and hand. Subsequently he developed pain, redness and swelling over the medial side of his right elbow and the flexor aspect of his right wrist. High-resolution ultrasound showed diffuse thickening of the right ulnar nerve with hypoechoic texture housing a cystic lesion with internal debris suggesting an abscess, at the cubital tunnel. Histopathological examination of the pus and tissue obtained from the abscess revealed presence of granulomas with lepra bacilli. The patient responded to surgery and multidrug therapy. In conclusion, the nerve abscess as the first manifestation of leprosy is uncommon and a high index of suspicion is required to make a correct diagnosis.</p>
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