Dear Editor,
We appreciate the interest shown by the authors in our recent publication and thank them for their critical observations. We would like to take this opportunity to clarify and respond to the points raised.
We agree that overall sensory loss is one factor that was either lacking or minimal in our cases. In leprosy, sensory loss and motor weakness along the distribution of affected nerve trunk over the limbs can be variable. In early cases, sensory loss may be difficult to appreciate clinically, and we may need a nerve
conduction velocity study to diagnose and identify the pattern of nerve involvement. In all our cases, the deformity of the hands mimicked that of leprosy, which can be misdiagnosed at the primary health care level.
Dear Editor,
We appreciate the interest shown by the authors in our recent publication and thank them for their critical observations. We would like to take this opportunity to clarify and respond to the points raised.
We agree that overall sensory loss is one factor that was either lacking or minimal in our cases. In leprosy, sensory loss and motor weakness along the distribution of affected nerve trunk over the limbs can be variable. In early cases, sensory loss may be difficult to appreciate clinically, and we may need a nerve
conduction velocity study to diagnose and identify the pattern of nerve involvement. In all our cases, the deformity of the hands mimicked that of leprosy, which can be misdiagnosed at the primary health care level.