TY - JOUR KW - Adult KW - Angiography KW - Brachial Artery KW - Female KW - Humans KW - leprosy KW - Male KW - Neural Conduction KW - Neuritis KW - Spinal Nerves KW - Sural Nerve KW - Ulnar nerve KW - Vascular Diseases AU - Chopra J S AU - Kaur S AU - Murthy J M AU - Kumar B AU - Radhakrishnan K AU - Suri S AU - Sawhney B B AB -

The arteriographic pattern of left hand vessels was studied in 20 patients in leprosy by percutaneous brachial arteriography. Arteriographic abnormalities noted consisted of occlusion, narrowing, tortuosity, dilatation, irregularity and incomplete filling of the lumen by contrast medium. Such abnormal findings were seen in all the arteriograms studied and more than one vessel involvement was noted in over 50 percent cases. This study clearly demonstrated that arterial involvement in leprosy was frequent. No correlation was found between motor weakness and vascular abnormalities. There was no difference in arterial lesions between the patients with and without trophic changes. There was also no correlation between the severity of vascular changes and decline in motor nerve conduction. Degree of histopathological abnormalities in the sural nerve biopsy from these patients showed no features of micro angiopathic neuropathy. It is concluded that the observed vascular abnormalities do not contribute significantly in the genesis of neurological deficit in leprosy.

BT - Leprosy in India C1 - http://www.ncbi.nlm.nih.gov/pubmed/7278150?dopt=Abstract CN - Infolep Library - available DA - 1981 Jul IS - 3 J2 - Lepr India LA - eng N2 -

The arteriographic pattern of left hand vessels was studied in 20 patients in leprosy by percutaneous brachial arteriography. Arteriographic abnormalities noted consisted of occlusion, narrowing, tortuosity, dilatation, irregularity and incomplete filling of the lumen by contrast medium. Such abnormal findings were seen in all the arteriograms studied and more than one vessel involvement was noted in over 50 percent cases. This study clearly demonstrated that arterial involvement in leprosy was frequent. No correlation was found between motor weakness and vascular abnormalities. There was no difference in arterial lesions between the patients with and without trophic changes. There was also no correlation between the severity of vascular changes and decline in motor nerve conduction. Degree of histopathological abnormalities in the sural nerve biopsy from these patients showed no features of micro angiopathic neuropathy. It is concluded that the observed vascular abnormalities do not contribute significantly in the genesis of neurological deficit in leprosy.

PY - 1981 SP - 443 EP - 53 T2 - Leprosy in India TI - Vascular changes in leprosy and its role in the pathogenesis of leprous neuritis. VL - 53 SN - 0024-1024 ER -