01556nas a2200337 4500000000100000008004100001260000900042653002900051653001100080653002100091653003200112653001100144653001200155653002700167653003900194653003100233653001200264653001400276653003200290653001500322100001400337700001100351700001500362700001100377700001300388245007300401300001000474490000600484520071400490022001401204 1992 d c199210aAcademies and institutes10aBiopsy10aElectromyography10aEvaluation Studies as Topic10aHumans10aleprosy10aNeurologic Examination10aPeripheral Nervous System Diseases10aReproducibility of Results10aSenegal10aSensation10aSensitivity and Specificity10aSkin Tests1 aGrimaud J1 aBlum L1 aVerchaud B1 aDiop A1 aMillan J00a[Detecting and monitoring leprosy neuropathy: which test to chose?]. a17-220 v83 a
The purpose of the study is to propose a simple and reproducible test for assessing nerve damage in leprosy. It is applied to the sensory branch of the radial nerve of leprosy patients, prior to any treatment. Skin sensitivity is measured by means of a needle, a drop of ether and some calibrated filaments. These three tests are collated and compared with the results of electromyographic examination of the nerve. The filament calibrated to 0.2 grams gives optimum sensitivity (0.79) and excellent specificity (0.95) in relation to the electromyographic test. Its routine use in the field is simple and reproducible and should result in a greater number of patients receiving the treatment they need.
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