This article presents a case of relapse, with isolated neural manifestation, in a multibacillary patient previously treated with multidrug therapy for multibacillary leprosy (24 doses). The patient returned to the service six years after the end of treatment, with pain in hands and legs. He was investigated, and the serological monitoring showed an important increase in anti-phenolic glycolipid serum levels. A neural recurrence was suspected, since the patient had no new skin lesions. A new biopsy in the right ulnar nerve showed a bacilloscopy of 2 +, compatible with relapse. This is a literature review of the etiological, clinical, propedeutical and diagnostic aspects of this situation so poorly understood.
BT - Anais brasileiros de dermatologia C1 - http://www.ncbi.nlm.nih.gov/pubmed/22570039?dopt=Abstract C2 - Brazil CY - Rio De Janeiro DA - 2012 Mar-Apr DO - 10.1590/s0365-05962012000200019 IS - 2 J2 - An Bras Dermatol LA - eng N2 -This article presents a case of relapse, with isolated neural manifestation, in a multibacillary patient previously treated with multidrug therapy for multibacillary leprosy (24 doses). The patient returned to the service six years after the end of treatment, with pain in hands and legs. He was investigated, and the serological monitoring showed an important increase in anti-phenolic glycolipid serum levels. A neural recurrence was suspected, since the patient had no new skin lesions. A new biopsy in the right ulnar nerve showed a bacilloscopy of 2 +, compatible with relapse. This is a literature review of the etiological, clinical, propedeutical and diagnostic aspects of this situation so poorly understood.
PB - Scielo PP - Rio De Janeiro PY - 2012 SP - 305 EP - 8 T2 - Anais brasileiros de dermatologia TI - Neural relapse in multibacillary leprosy 6 years after end of treatment. TT - [Recidiva neural em hanseníase multibacilar após 6 anos de tratamento] UR - http://www.scielo.br/pdf/abd/v87n2/v87n2a19.pdf VL - 87 SN - 1806-4841 ER -