01252nas a2200193 4500000000100000008004100001260002700042653001400069653002500083100001800108700001900126700001300145245008300158856008500241300001400326490000700340520068600347022002501033 2022 d bGeorg Thieme Verlag KG10aNeurology10aNeurology (clinical)1 aEvangelista V1 aMermelstein SA1 aJardim M00aUnidigital clubbing in a patient with ulnar neuropathy due to Hansen's disease uhttps://www.thieme-connect.com/products/ejournals/pdf/10.1055/s-0042-1760085.pdf a1288-12880 v803 a

A 37-year-old woman presented with a 5-year history of skin lesions with multiple erythematous papules, enlarged nerves on palpation, and a right ulnar neuropathy, characterized by weakness and wasting of intrinsic hand muscles and numbness in the fifth and fourth fingers of the right hand, with unidigital clubbing. This is an unusual sign, previously reported in finger trauma, median nerve neuropathy, brachial plexopathy, sarcoidosis, and vascular conditions such as aortic aneurysms. To our knowledge, the present is the first report on ulnar neuropathy secondary to leprosy, confirmed by skin biopsy, and serves as a clue to the diagnosis of mononeuropathies. 

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